Doctor profile · Federal record
Dr. Ellen Im, DDS
Pediatric Dentist · Poway, CA
- NPI 1023029220
- 20 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
13422 Pomerado RD Ste 201
Poway, CA 920643548
(410) 644-4100 - Mailing address
-
13422 Pomerado RD, Suite 201
Poway, CA 92064
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- May 10, 2021
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- California #63073
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023029220. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$42
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| USA Angelalign Technology Corp | 1 | $29.87 | |
| Dmg America LLC | 1 | $12.44 |
By nature of payment
Frequently asked questions
What is Dr. Ellen Im's medical specialty?
Dr. Ellen Im practices Pediatric Dentist in Poway, CA.
Where does Dr. Ellen Im practice?
Dr. Ellen Im practices at 13422 Pomerado RD Ste 201, Poway, CA 920643548. Office phone: 4106444100.
What is Dr. Ellen Im's NPI?
Dr. Ellen Im's National Provider Identifier (NPI) is 1023029220, issued by NPPES.