Albert Hue-Soo Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

106202 Issued in CA

Practice address

1710 N Fuller Ave Apt 407
Los Angeles, CA 90046-3065

Phone

(929) 217-5854

NPI assigned

Apr 16, 2020

Last updated

Oct 13, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1558980854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 N FULLER AVE APT 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463065",
            "telephone_number": "929-217-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N FULLER AVE APT 407",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900463065",
            "telephone_number": "929-217-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "ALBERT",
        "middle_name": "HUE-SOO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-16",
        "last_updated": "2021-10-13",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "106202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahlee Kim, M.D.
• Ahlim Kim, M.A
• Aiden Junhyun Kim, PHARMD
• Aileen Kim
• Airie Kim, M.D.
• Alexander Kim, DNP
• Alexander H Kim, D.O.
• Alexander Taejin Kim, O.D.
• Alexandria Kim
• Alice Yon Kim, M.D.

• General Practice Dentistry in Los Angeles, CA
• Providers in Los Angeles, 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 Oct 13, 2021; 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.