Individual provider Active NPI

Jinnu Kim, DMD MS

  • Periodontics
  • Torrance, CA
National Provider Identifier
1851185920
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
109643 Issued in CA
Practice address
1305 Sepulveda Blvd Unit 2
Torrance, CA 90501-5002
Phone
(424) 731-0471
NPI assigned
Apr 5, 2025
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 109643 CA Primary

Addresses

Primary practice location

1305 Sepulveda Blvd Unit 2
Torrance, CA 90501-5002

Mailing address

4714 Macafee Rd
Torrance, CA 90505-4325
Phone (424) 731-0471

Other practice location 1

416 N Bedford Dr
Beverly Hills, CA 90210-4322
Phone (424) 265-2844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
109643CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1743811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1851185920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 MACAFEE RD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054325",
            "telephone_number": "424-731-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 SEPULVEDA BLVD UNIT 2",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905015002",
            "telephone_number": "424-731-0471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 N Bedford Dr",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902104322",
            "country_code": "US",
            "telephone_number": "424-265-2844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JINNU",
        "name_prefix": "Dr.",
        "credential": "DMD MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-05",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "109643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.