Evan Hyunwu Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

113629 Issued in CA

Practice address

29121 S Western Ave
Rancho Palos Verdes, CA 90275-1125

Phone

(310) 594-7338

NPI assigned

Jul 28, 2026

Last updated

Jul 28, 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

Practice roles

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

• San Pedro Smiles Dentistry, Inc.

  dba San Pedro Smiles Dentistry

  • General Practice Dentistry
  • Rancho Palos Verdes, CA
  • NPI 1447131867
  NPD (past)

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1639091093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S FLOWER ST APT 334",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900155105",
            "telephone_number": "425-512-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29121 S WESTERN AVE",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902751125",
            "telephone_number": "310-594-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "EVAN",
        "middle_name": "HYUNWU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "113629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Kennedy, D.C.
• Mark Basha Keroles, MD
• Charlene Nomura Kim
• Christopher Martin Kim, VN 271530
• Daniel Kim
• Minseag Kim
• Richard Seongjun Kim, MD
• Mary Nell Kocman
• Harini Delia Koko, AGNP-C
• Glen Isamu Komatsu, M.D.

• General Practice Dentistry in Rancho Palos Verdes, CA
• Providers in Rancho Palos Verdes, 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 28, 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.