JESSICA KOH DDS
NPI 1013358753
Student in an Organized Health Care Education/Training Program in Torrance, CA

Active since July 10, 2013Opted out of Medicare · through Jul 28, 2027
1000 W CARSON ST # 19, TORRANCE, CA 90502(310) 668-4202 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Koh Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA KOH DDS (NPI 1013358753) is an individual student in an organized health care education/training program in Torrance, California and active in the NPI registry since July 2013. She has opted out of Medicare through July 28, 2027.

NPPES Registry Identity

NPI1013358753
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA KOHCredential: DDS
Location Address1000 W CARSON ST # 19Torrance, CA 90502-2004
Mailing Address1821 1/2 Pandora AveLos Angeles, CA 90025-5064 · (310) 710-0443
Sole ProprietorNo
Enumeration DateJuly 10, 2013
NPI 1013358753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 W CARSON ST # 19, Torrance, CA 90502

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Jessica Koh Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 28, 2025 through July 28, 2027.

Opt-Out Effective DateJuly 28, 2025
Opt-Out In Effect ThroughJuly 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1000 W CARSON ST # 19
TORRANCE, CA 90502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Koh's NPI number?

The NPI number for Jessica Koh is 1013358753. It was assigned to this individual provider in the NPPES registry on July 10, 2013.

Where is Jessica Koh located?

Jessica Koh practices at 1000 W Carson St # 19, Torrance, CA 90502. The listed phone number is (310) 668-4202.

What is Jessica Koh's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jessica Koh enrolled in Medicare?

No. Jessica Koh has opted out of Medicare through July 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jessica Koh accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 4 other insurers list Jessica Koh as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessica Koh was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.