MEDICARE: DR. JAMES S KIM DMD

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
1	1223G0001X	General Practice Dentistry	33303	CA

General Provider Information

NPI Number	:	1528011624
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S KIM DMD

Provider Business Mailing Address
First Line	:	485 BROADWAY
Second Line	:	#700
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1923
Country	:	US
Telephone Number	:	650-697-6691
Fax Number	:

Provider Business Practice Location Address
First Line	:	485 BROADWAY
Second Line	:	#700
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1923
Country	:	US
Telephone Number	:	650-697-6691
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/18/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1164521647 — DR. REINHARD WEISER DDS
Practice Location Address:

485 BROADWAY , SUITE #400
MILLBRAE, CA
94030-1923

Practice Phone: 650-697-2252
Practice Fax: 650-697-2253

1982720058 — FABIANA MELO DDS
Practice Location Address:

485 BROADWAY STE 700
MILLBRAE, CA
94030-1923

Practice Phone: 650-576-4341
Practice Fax:

1053326322 — WALGREEN CO
Practice Location Address:

615 BROADWAY
MILLBRAE, CA
94030-1909

Practice Phone: 650-697-0166
Practice Fax:

1831196229 — DR. PEDRO A. CATURAY DDS
Practice Location Address:

1301 BROADWAY , STE 7
MILLBRAE, CA
94030-1336

Practice Phone: 650-589-3667
Practice Fax: 650-589-3675

1386632438 — MILLBRAE SERRA SANITARIUM INC.
Practice Location Address:

150 SERRA AVE
MILLBRAE, CA
94030-2629

Practice Phone: 650-697-7000
Practice Fax:

1144299157 — ADMIRAL MEDICAL SUPPLIES LLC
Practice Location Address:

357 EL CAMINO REAL
MILLBRAE, CA
94030

Practice Phone: 650-697-0900
Practice Fax: 650-697-0970

Directions to “ DR. JAMES S KIM DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.