Daewoo Kim, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25562 Issued in CA

Practice address

15435 S Western Ave
Gardena, CA 90249-4323

Phone

(310) 329-7600

Fax

(310) 329-7647

NPI assigned

Nov 11, 2005

Last updated

Jul 13, 2026By 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": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1578544979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494331",
            "telephone_number": "310-329-7600",
            "fax_number": "310-329-7647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15435 S WESTERN AVE",
            "city": "GARDENA",
            "state": "CA",
            "postal_code": "902494323",
            "telephone_number": "310-329-7600",
            "fax_number": "310-329-7647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "DAEWOO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Foot and Ankle Medical Center of Torrance, Inc
• Albert Kim
• Bokyun Kim, ACUPUNCTURIST
• Chan Ho Kim
• Charlie Kim
• Daniel Kim
• Eunice Yong Kim
• Gina Kim
• Grace Kim, MS OTR/L
• Hang Kim

• General Practice Dentistry in Gardena, CA
• Providers in Gardena, 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 Jul 13, 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.

Verify at the official NPI Registry.