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Licensing details for: 51336

Name: GIM, JASON SO YONG

License Type: Dentist

Primary Status: Current - Active

Secondary Status: Probationary License

Probation Summary: Description: Jason Gim (Respondent) entered into a 3-year probationary term imposed pursuant to an adjudicated decision, effective August 21, 2022. This probationary term is anticipated to end August 20, 2025.
Below are the causes for probation:
• Repeated Acts of Negligence
• Incompetence
• Gross Negligence
Restrictions of Practice: Below of the terms of the Disciplinary Order, terms 1-15 are considered standard:
1. Severability Clause
2. Obey All Laws
3. Quarterly Reports
4. Comply with the Board’s Probation Program
5. Address Change, Name Change, License Status
6. Meetings and Interviews
7. Status of Residency, Practice, or Licensure Outside of State
8. Submit Documentation
9. Cost Recovery- $21,660.00
10. Probation Monitoring Costs
11. License Surrender
12. Function as a Licensee
13. Continuance of Probationary Term/Completion of Probation
14. Sale or closure of an office and/or practice
15. Notification
16. Remedial Education- (1) Obtaining Patient History and (2) Administering Conscious Sedation
17. Ethics Course
18. Community Service- 20 hours for first year of probation

Address of Record

25849 Flemming Pl
STEVENSON RANCH CA 91381-1015
LOS ANGELES county
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Issuance Date

December 12, 2003

Expiration Date

November 30, 2026

Current Date / Time

June 7, 2025
10:6:10 AM

Disciplinary Actions

Start: August 21, 2022

End: August 20, 2025

Action: Revoked, Stayed, Probation

Public Record Documents

License Relationships

AO to DDS or OMS (Owners)

License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit

Related Party Role: Additional Office Permit

Name: JASON S. GIM, DDS, INC.

License/Registration Type: Additional Office Permit

License Number: 9750 Primary Status: Expired

Address :
41253 12TH STREET W
STE. B
PALMDALE CA 93551
LOS ANGELES COUNTY

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