Andrew-Sunjun Kim, D.D.S, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

62018 Issued in CA

Legal business name

ANDREW-SUNJUN KIM, D.D.S, INC.

Doing business as

Enzo Dentistry

Practice address

9440 Santa Monica Blvd Ste 555
Beverly Hills, CA 90210-4629

Phone

(310) 321-0005

Fax

(310) 409-0025

NPI assigned

Sep 9, 2013

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew-Sunjun Kim, DDSNPI 1760765119

Title

President

Phone

(310) 321-0005

Specialties & licenses 1

Addresses

Other names 1

• Enzo Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrew-Sunjun Kim, DDS

  • General Practice Dentistry
  • Beverly Hills, CA
  • NPI 1760765119
  NPD Authorized official
• Gina Deana Assaf, D.D.S.

  • Dentist
  • Tustin, CA
  • NPI 1780957597
  NPD (past)

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

{
    "created_epoch": "1378684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1639504749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 555",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104629",
            "telephone_number": "310-321-0005",
            "fax_number": "310-409-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9440 SANTA MONICA BLVD STE 555",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104629",
            "telephone_number": "310-321-0005",
            "fax_number": "310-409-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW-SUNJUN KIM, D.D.S, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-09",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "ANDREW-SUNJUN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-321-0005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Enzo Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Beverly Hills, CA
• Providers in Beverly Hills, 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 Dec 23, 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.