DR. JIN Y KIM DDS, MPH, MS
NPI 1396881041
Dentist - Periodontics in Diamond Bar, CA

Active since January 29, 2007
620 N DIAMOND BAR BLVD, DIAMOND BAR, CA 91765(909) 860-9222(714) 276-6116 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jin Y Kim Dds, Mph, Ms NPPES

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

DR. JIN Y KIM DDS, MPH, MS (NPI 1396881041) is an individual periodontics provider in Diamond Bar, California, licensed in California (41267) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1396881041
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. JIN Y KIMCredential: DDS, MPH, MS
Location Address620 N DIAMOND BAR BLVDDiamond Bar, CA 91765-1037
Mailing Address620 N Diamond Bar BlvdDiamond Bar, CA 91765-1037 · (909) 861-3043 · Fax (909) 860-3263
Fax(714) 276-6116
Sole ProprietorNo
Enumeration DateJanuary 29, 2007
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedNovember 27, 2023
NPI 1396881041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 41267
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
620 N DIAMOND BAR BLVD, Diamond Bar, CA 91765

Accepted 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.

Dentist (Periodontics)
620 N DIAMOND BAR BLVD
DIAMOND BAR, CA 91765

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1396881041. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jin Kim located?

Jin Kim practices at 620 N Diamond Bar Blvd, Diamond Bar, CA 91765. The listed phone number is (909) 860-9222.

What is Jin Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Jin Kim accept?

Health plans from Florida Combined Life list Jin 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 Jin Kim was last updated on November 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.