Byoungsoo Kim, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

109795 Issued in CA

Practice address

5877 S Vermont Ave
Los Angeles, CA 90044-3741

Phone

(323) 759-1523

NPI assigned

Jan 11, 2024

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

Other names 1

• Brian Kim Other name

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": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1760253363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S GRAND AVE UNIT 1210",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154289",
            "telephone_number": "661-236-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5877 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900443741",
            "telephone_number": "323-759-1523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "BYOUNGSOO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "109795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIAN",
            "last_name": "KIM",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bryan Bumsoo Kim, D.M.D.
• Bryan Jordan Kim, MD
• Bu Kum Kim, L.AC
• Bu Won Kim, L.AC.
• Byoung Sik Kim, O.M.D.
• Byum Suk Kim, D.C
• Byung Chul Kim, D.D.S
• Calvin A. Kim, MD
• Caroline A. Kim, M.D.
• Caroline Sohee Kim, PA-C

• Dentist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.