Saewon Kim

Dentist · Palmdale, CA

Individual Active NPI

NPI number 1962196840

Practice location

510 W Rancho Vista Blvd
Palmdale, CA 93551-3737
Phone
(661) 202-3052

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NPI record

NPI
1962196840
Entity type
Individual (Type 1)
Enumeration date
June 5, 2023
Last updated
September 16, 2025
Certified
September 16, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 112156 CA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

365 Blackshear Ave
East Los Angeles, CA 90022-2307
Phone
(323) 326-8186

Other practice locations (3)

  • 1980 N Columbia St, Milledgeville, GA 31061-2020 · (478) 387-7015
  • 16111 Plummer St, North Hills, CA 91343-2036 · (818) 891-7711
  • 11301 Wilshire Blvd, Los Angeles, CA 90073-1003 · (310) 478-3711

About Saewon Kim

Saewon Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 510 W Rancho Vista Blvd, Palmdale, CA 93551-3737. The NPI number 1962196840 was assigned on June 5, 2023 and the record was last updated on September 16, 2025.

Saewon Kim lists a license in the registry: #112156 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Saewon Kim?

The NPI number is 1962196840.

What is the phone number of Saewon Kim?

The phone number listed for the practice location is (661) 202-3052.

Where is Saewon Kim located?

510 W Rancho Vista Blvd, Palmdale, CA 93551-3737.

What is the taxonomy code for Saewon Kim?

The primary taxonomy code is 122300000X – Dentist; 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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