Search › California › 1223G0001X
Jae Kim, D.D.S
NPI 1437501566 · on the registry since 2016 · sole proprietor
Practice
- Address
- 205 South St
Fort Bragg, CA 95437 - Phone
- (707) 961-4088
- Organisation at this address
- Mendocino Coast Clinics Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 51
Additional practice sites
- 1 Brookdale Plz, Brooklyn, NY
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 390200000X
- Licence states on file
- NY, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-03-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California