Jaesung Kim DMD Inc
NPI 1609499979ActiveOrganization· Dentist· San Clemente, CA
Dentist in San Clemente, California, registered in NPPES in May 2020. The authorized official on file is Jaesung Kim, DMD, President.
Overview
| NPI | 1609499979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 21, 2020 |
| Last updated in NPPES | May 21, 2020 |
| Certified by provider | May 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Dentist providers in San Clemente
- 1871681197
- 1942437983
- 1205989852
- 1205176468
- 1184112229
- 1578985297
- 1447642152
- 1689706970
- 1750996468
- 1497925747
- 1881764637
- 1760796023