Jae Eun Kim, DMD

General Practice Dentistry · Pico Rivera, CA

Individual Active NPI

NPI number 1285287110

Practice location

8819 Whittier Blvd Ste 102
Pico Rivera, CA 90660-2673
Phone
(562) 699-1000
Fax
(562) 699-1099

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NPI record

NPI
1285287110
Entity type
Individual (Type 1)
Enumeration date
July 19, 2019
Last updated
April 13, 2023
Certified
April 13, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 104068 CA
Public Health Dentistry 1223D0001X 104068 CA

Other practice locations (1)

  • 14880 Whittier Blvd, Whittier, CA 90605-1727 · (562) 567-9051

About Dr. Kim

Jae Eun Kim, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 8819 Whittier Blvd Ste 102, Pico Rivera, CA 90660-2673. The NPI number 1285287110 was assigned on July 19, 2019 and the record was last updated on April 13, 2023.

Dr. Kim lists 2 licenses in the registry: #104068 (CA) for General Practice Dentistry; #104068 (CA) for Public Health Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jae Eun Kim, DMD?

The NPI number is 1285287110.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (562) 699-1000.

Where is Dr. Kim located?

8819 Whittier Blvd Ste 102, Pico Rivera, CA 90660-2673.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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