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

SAN PEDRO FAMILY DENTIST
NPI 1114174216
Dentist - General Practice in San Pedro, CA

Active since August 20, 2008
204 N PACIFIC AVE, SAN PEDRO, CA 90731(310) 832-8800(310) 832-8801 Get Directions Write a Review

NPPES record last updated: August 20, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About San Pedro Family Dentist NPPES

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

SAN PEDRO FAMILY DENTIST (NPI 1114174216) is a healthcare organization registered as a general practice in San Pedro, California and active in the NPI registry since August 2008. The organization lists Young Kim, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1114174216
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameYOUNG KIM D.D.S. INC.
Location Address204 N PACIFIC AVESan Pedro, CA 90731-2016
Mailing Address204 North Pacific AveSan Pedro, CA 90731 · (310) 832-8800 · Fax (310) 832-8801
Phone(310) 832-8800
Fax(310) 832-8801
Organization SubpartNo
Authorized OfficialYoung KimDentist/owner · (310) 832-8800
Enumeration DateAugust 20, 2008
✔ NPI 1114174216 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 · 31939
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.
204 N PACIFIC AVE, San Pedro, CA 90731
Open in Google Maps ↗

Other Names 1

Doing Business AsSan Pedro Family Dentist

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

JOOYOELPARK DDS INC
Dentist
204 N PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 832-8800
DR. PINAKIN OCHHAVLAL PARIKH D.D.S.
Dentist
204 N PACIFIC AVE
SAN PEDRO, CA 90731
Los Angeles County (310) 832-0291

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 Kim D.D.S. Inc.'s NPI number?

The NPI number for Young Kim D.D.S. Inc. is 1114174216. It was assigned to this organization in the NPPES registry on August 20, 2008. The provider is doing business as San Pedro Family Dentist.

Where is Young Kim D.D.S. Inc. located?

Young Kim D.D.S. Inc. is located at 204 N Pacific Ave, San Pedro, CA 90731. The listed phone number is (310) 832-8800.

What is Young Kim D.D.S. Inc.'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 Kim D.D.S. Inc. was last updated on August 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.