Kim, Brian Jongyoon

Kim, Brian Jongyoon is an individual health care provider with primary practice located at 10515 Balboa Blvd Suite 280, Granada Hills CA 91344-6343. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Kim, Brian Jongyoon can be contacted via phone (818) 363-7900.

Contact Information

Primary practice address
10515 Balboa Blvd Suite 280 Granada Hills CA 91344-6343
Phone: (818) 363-7900
Fax: (818) 368-7111
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 48133 California

Profile Details

NPI number 1801835657
LBN Legal business name Kim, Brian Jongyoon
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801835657 NPPES
California Other 248133 DELTA DENTAL

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