Healthcare Provider Details

I. General information

NPI: 1740855618
Provider Name (Legal Business Name): SARAH EUNHA KIM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4138 DYER ST STE 3
UNION CITY CA
94587-3975
US

IV. Provider business mailing address

4138 DYER ST STE 3
UNION CITY CA
94587-3975
US

V. Phone/Fax

Practice location:
  • Phone: 510-487-4800
  • Fax:
Mailing address:
  • Phone: 510-487-4800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDD5477
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS108665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: