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NPI Code Detail

MEDICARE: RACHAEL KIM

MEDICARE:   RACHAEL  KIM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry112064CA

General Provider Information

NPI Number : 1518814722
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL KIM
Provider Business Mailing Address
First Line : 1155 E DEL MAR BLVD APT 107
Second Line :
City : PASADENA
State : CA
Zip : 91106-3427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3551 PECK RD STE 101
Second Line :
City : EL MONTE
State : CA
Zip : 91731-3547
Country : US
Telephone Number : 626-444-2002
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ RACHAEL KIM ” Practice Location

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