Aaron Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107816 Issued in CA

Practice address

2630 Zoe Ave
Huntington Park, CA 90255-4132

Phone

(323) 230-6366

NPI assigned

Mar 14, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keivan Sarraf, DDS, Inc

  • Dentist
  • Huntington Park, CA
  • NPI 1528578036
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1497330195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10568 GATEWAY PROMENADE UNIT 232",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917313611",
            "telephone_number": "808-222-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 ZOE AVE",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902554132",
            "telephone_number": "323-230-6366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "935 Makahiki Way",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968262896",
            "country_code": "US",
            "telephone_number": "808-922-4787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "AARON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Rich MD
• Kevin B. Dorsey DDS Inc., a Professional Corporation
• Emil Khalili Sr., DDS
• Suzanne Khalili, DDS
• Jeanne Khuu
• Bo Kyoung Kim, DDS
• David Dai Young Kim, RPH
• Deborah Kim
• Joanne Sung Kim, DDS
• Steve Sungbum Kim, D.D.S.

• General Practice Dentistry in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.