1. Home
  2. Directory
  3. California
  4. Anaheim
  5. Dentist
  6. NPI Profile

YOUNG RAE KIM DENTAL CORP
NPI 1093123770
Dentist - General Practice in Anaheim, CA

Active since July 25, 2014
937 N LEMON ST, ANAHEIM, CA 92805(714) 776-1202(714) 776-9504 Get Directions Write a Review

NPPES record last updated: July 25, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Young Rae Kim Dental Corp NPPES

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

YOUNG RAE KIM DENTAL CORP (NPI 1093123770) is a healthcare organization registered as a general practice in Anaheim, California and active in the NPI registry since July 2014. The organization lists Young Rae Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093123770
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYOUNG RAE KIM DENTAL CORP
Location Address937 N LEMON STAnaheim, CA 92805-1825
Mailing Address937 N Lemon StAnaheim, CA 92805-1825 · (714) 776-1202 · Fax (714) 776-9504
Phone(714) 776-1202
Fax(714) 776-9504
Organization SubpartNo
Authorized OfficialYoung Rae KimCeo · (714) 776-1202
Enumeration DateJuly 25, 2014
✔ NPI 1093123770 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 · 59862
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.
937 N LEMON ST, Anaheim, CA 92805
Open in Google Maps ↗

Other Identifiers 1

Medicaid1205137999CA

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

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 Young Rae Kim Dental Corp's NPI number?

The NPI number for Young Rae Kim Dental Corp is 1093123770. It was assigned to this organization in the NPPES registry on July 25, 2014.

Where is Young Rae Kim Dental Corp located?

Young Rae Kim Dental Corp is located at 937 N Lemon St, Anaheim, CA 92805. The listed phone number is (714) 776-1202.

What is Young Rae Kim Dental Corp'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 Young Rae Kim Dental Corp was last updated on July 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.