Dr. Ellen Wonsun Im is a Poway, California based Pediatric Dentist who is specialized in Pediatric Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ellen Wonsun Im is 63073 for Pediatric Dentistry in California. Her current practice location is 13422 Pomerado Rd Ste 201, Poway. Patients can reach her at 410-644-4100.
Dr. Ellen Wonsun Im provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Profile:
Dr. Ellen Wonsun 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.
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:
1023029220
NPI Enumeration Date:
11 Aug, 2006
NPI Last Update On:
10 May, 2021
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. Ellen Wonsun Im are as mentioned below.
License Number
Specialization
State
Status
63073
Pediatric Dentistry
California
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
13422 Pomerado Rd, Suite 201 Poway, California
Zip:
92064
Phone Number:
858-679-6660
Fax Number:
858-679-0850
Patients can reach Dr. Ellen Wonsun Im at 13422 Pomerado Rd Ste 201, Poway, California or can call to book an appointment on 410-644-4100. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.