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Luis Woong-Jin Kim

Periodontist

901 Ventura Ave
Albany , California 94707-2122

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Luis Woong-Jin Kim

Periodontist

901 Ventura Ave
Albany , California 94707-2122

(510) 526-3397

Write a Review Save Call

Luis Woong-Jin Kim

Periodontist

901 Ventura Ave
Albany , California 94707-2122

(510) 526-3397 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Periodontist

Languages spoken

  • English

Location

901 Ventura Ave Albany , California 94707-2122

First Address

  • Luis Woong-Jin Kim
  • 901 Ventura Ave
  • Albany, CA
  • Zip : 94707-2122
  • Fax : (510) 526-3397
  • Phone : (510) 526-1757

Second Address

  • Luis Woong-Jin Kim
  • 901 Ventura Ave
  • Albany, CA
  • Zip : 94707-2122
  • Fax : (510) 526-3397
  • Phone : (510) 526-1757

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FAQs


Where did Luis Woong-Jin Kim attend graduate school?

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Where did Luis Woong-Jin Kim do his residency?

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Where did Luis Woong-Jin Kim do his fellowship?

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Is Luis Woong-Jin Kim board certified?

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What type of doctor is Luis Woong-Jin Kim

Periodontist

In what state does Luis Woong-Jin Kim practice in?

California

Where is Luis Woong-Jin Kim ’s practice located?

901 Ventura Ave , Albany, California, 94707-2122

What is Luis Woong-Jin Kim ’s gender?

Male

Is Luis Woong-Jin Kim a sole practitioner?

No

Is Luis Woong-Jin Kim accepting new patients?

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What languages does Luis Woong-Jin Kim speak?

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Does Luis Woong-Jin Kim accept insurance?

Yes, Luis Woong-Jin Kim accepts insurance

Does Luis Woong-Jin Kim offers telemedicine?

Luis Woong-Jin Kim has not indicated if he offers telemedicine

What is Luis Woong-Jin Kim ’s professional license number?

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What is Luis Woong-Jin Kim ’s NPI number?

1134342025

Does Luis Woong-Jin Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0300X Periodontist 50151 CA

National Provider Identifier

NPI 1134342025
Provider Name Luis Woong-Jin Kim
First Address Albany, CA 94707-2122
Second Address Albany, CA 94707-2122
Gender M
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 10/04/2007
Last Update Date 18/07/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
412170551 TAX I.D. (01) CA

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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