Organization Active NPI

Daeuk D Kim DDS, California Inc.

  • Dental Clinic/Center
  • Long Beach, CA
National Provider Identifier
1841039229
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DAEUK D KIM DDS, CALIFORNIA INC.
Practice address
615 Pacific Ave
Long Beach, CA 90802-1325
Phone
(510) 926-9414
NPI assigned
May 23, 2024
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Dr. Daeuk David Kim, DDSNPI 1356827737
Title
Ceo
Phone
(510) 926-9414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

615 Pacific Ave
Long Beach, CA 90802-1325

Mailing address

144 Waterfall LN
Brea, CA 92821-4348

National Provider Directory

National Provider Directory

Locations

615 Pacific Ave
Long Beach, CA 90802
Phone (510) 926-9414

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1841039229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 WATERFALL LN",
            "city": "BREA",
            "state": "CA",
            "postal_code": "928214348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 PACIFIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021325",
            "telephone_number": "510-926-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAEUK D KIM DDS, CALIFORNIA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAEUK",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-926-9414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.