Active NPI
Hyun Wook Kim, DDS
- General Practice Dentistry
- Los Angeles, CA
National Provider Identifier
1154928208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 105400
- Practice address
- 966 S Western Ave Ste 207
Los Angeles, CA 90006-1016 - Phone
- (323) 734-3710
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 105400 | CA | Primary |
Addresses
Primary practice location
966 S Western Ave Ste 207
Los Angeles, CA 90006-1016
Mailing address
966 S Western Ave Ste 207
Los Angeles, CA 90006-1016
Phone (323) 734-3710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105400 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1154928208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "966 S WESTERN AVE STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900061016",
"telephone_number": "323-734-3710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 S WESTERN AVE STE 207",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900061016",
"telephone_number": "323-734-3710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "HYUN",
"middle_name": "WOOK",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-01",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "105400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.