JAE G. KIM PROFESSIONAL DENTAL CORPORATION
NPI 1043439953
Dentist - General Practice in Los Angeles, CA

Active since April 25, 2007
2500 WILSHIRE BLVD, SUITE 1100, LOS ANGELES, CA 90057(213) 385-9710(213) 385-9343 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jae G. Kim Professional Dental Corporation NPPES

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

JAE G. KIM PROFESSIONAL DENTAL CORPORATION (NPI 1043439953) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since April 2007. The organization lists Inwoo Yi, Secretary, as its authorized official.

NPPES Registry Identity

NPI1043439953
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJAE G. KIM PROFESSIONAL DENTAL CORPORATION
Location Address2500 WILSHIRE BLVD, SUITE 1100Los Angeles, CA 90057-4303
Mailing Address2500 Wilshire Blvd, Suite 1100Los Angeles, CA 90057-4303 · (213) 385-9710 · Fax (213) 385-9343
Fax(213) 385-9343
Organization SubpartNo
Authorized OfficialInwoo YiSecretary · (213) 385-9710
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1043439953 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 41439
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2500 WILSHIRE BLVD, Los Angeles, CA 90057

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
2500 WILSHIRE BLVD
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, SUIT 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD
LOS ANGELES, CA 90057
Case Management
2500 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, STE#500
LOS ANGELES, CA 90057
Registered Nurse (Psychiatric/Mental Health)
2500 WILSHIRE BLVD, SUIT 500
LOS ANGELES, CA 90057
Rehabilitation Practitioner
2500 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90057

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 Jae G. Kim Professional Dental Corporation's NPI number?

The NPI number for Jae G. Kim Professional Dental Corporation is 1043439953. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Jae G. Kim Professional Dental Corporation located?

Jae G. Kim Professional Dental Corporation is located at 2500 Wilshire Blvd Suite 1100, Los Angeles, CA 90057. The listed phone number is (213) 385-9710.

What is Jae G. Kim Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jae G. Kim Professional Dental Corporation was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.