Dr. Ted Tae Yul Im is a Moreno Valley, California based Dentist who is specialized in Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ted Tae Yul Im is 40950 for Dentistry in California. His current practice location is 23205 Sunnymead Blvd, Moreno Valley. Patients can reach him at 951-242-6242.
Dr. Ted Tae Yul Im is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ted Tae Yul Im speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Ted Tae Yul Im
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
23205 Sunnymead Blvd, Moreno Valley, California, 92553-5246
Phone:
951-242-6242
Fax:
951-242-4782
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1114083193
NPI Enumeration Date:
28 Dec, 2006
NPI Last Update On:
19 Sep, 2016
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ted Tae Yul Im are as mentioned below.
License Number
Specialization
State
Status
40950
Dentistry
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ted Tae Yul Im such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
D40950
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
23205 Sunnymead Blvd, Moreno Valley, California
Zip:
92553-5246
Phone Number:
951-242-6242
Fax Number:
951-242-4782
Patients can reach Dr. Ted Tae Yul Im at 23205 Sunnymead Blvd, Moreno Valley, California or can call to book an appointment on 951-242-6242. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.