Kyuwan Kim

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1255638284 Issued in CA

Practice address

9428 Valley Blvd Ste 101
Rosemead, CA 91770-1514

Phone

(213) 256-6133

NPI assigned

Jul 2, 2019

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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

• Kyuwan Kim DMD Corp

  • General Practice Dentistry
  • Rosemead, CA
  • NPI 1083431852
  NPD Authorized official
• Oh DMD Inc

  • General Practice Dentistry
  • Bakersfield, CA
  • NPI 1255638284
  NPD (past)

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

{
    "created_epoch": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1962064675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10059",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933890059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9428 VALLEY BLVD STE 101",
            "city": "ROSEMEAD",
            "state": "CA",
            "postal_code": "917701514",
            "telephone_number": "213-256-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "KYUWAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "1255638284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betty Tuyet Nhung Khuu, RPH
• Kim-Anh Thi Vu, D.D.S., Inc.
• Dosun Kim, NURSE PRACTITIONER
• Hee S Kim, L.AC
• Hong J Kim, L.AC
• Dai Kitamura
• Gilbert Koay
• Ching Ha Kong
• Tsoline Konialian, PSY D
• Chiungwen Ku

• General Practice Dentistry in Rosemead, CA
• Providers in Rosemead, 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 Oct 22, 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.