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JAE EUN KIM DMD
NPI 1285287110
Dentist - General Practice in Pico Rivera, CA

Active since July 19, 2019
8819 WHITTIER BLVD STE 102, PICO RIVERA, CA 90660(562) 699-1000(562) 699-1099 Get Directions Write a Review

NPPES record last updated: April 13, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 13, 2023, Jul 19, 2019 (2 updates tracked since 2019).

About Jae Eun Kim Dmd NPPES

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

JAE EUN KIM DMD (NPI 1285287110) is an individual general practice provider in Pico Rivera, California, licensed in California (104068) and active in the NPI registry since July 2019. She maintains a secondary practice location in Whittier.

NPPES Registry Identity

NPI1285287110
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameJAE EUN KIMCredential: DMD
Location Address8819 WHITTIER BLVD STE 102Pico Rivera, CA 90660-2673
Mailing Address8819 Whittier Blvd Ste 102Pico Rivera, CA 90660-2673 · (562) 699-1000
Phone(562) 699-1000
Fax(562) 699-1099
Sole ProprietorYes
Enumeration DateJuly 19, 2019
Last NPPES UpdateApril 13, 20232 updates tracked since enumeration
NPPES CertifiedApril 13, 2023
✔ NPI 1285287110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 104068
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.

Also ListedDentist · Dental Public HealthTaxonomy 1223D0001X · License 104068 (CA)
8819 WHITTIER BLVD STE 102, Pico Rivera, CA 90660
Open in Google Maps ↗

Secondary Practice Location 1

Location 114880 Whittier BlvdWhittier, CA 90605-1727 · Phone (562) 567-9051

Other Identifiers 2

Other104068CA · Availity
Medicaid104068CA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

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

JK FAMILY DENTAL INC
Clinic/Center (Dental)
8819 WHITTIER BLVD STE 102
PICO RIVERA, CA 90660
Los Angeles County (562) 699-1000

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 Eun Kim's NPI number?

The NPI number for Jae Eun Kim is 1285287110. It was assigned to this individual provider in the NPPES registry on July 19, 2019.

Where is Jae Eun Kim located?

Jae Eun Kim practices at 8819 Whittier Blvd Ste 102, Pico Rivera, CA 90660. The listed phone number is (562) 699-1000.

What is Jae Eun Kim's specialty?

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

What insurance does Jae Eun Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 3 other insurers list Jae Eun Kim 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 Jae Eun Kim was last updated on April 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.