KOSAL KOM, DDS, INC
NPI 1689805012
Dentist - General Practice in Long Beach, CA

Active since August 03, 2009
2338 E ANAHEIM ST, SUITE 108, LONG BEACH, CA 90804(562) 434-9980 Get Directions Write a Review

NPPES record last updated: August 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kosal Kom, Dds, Inc NPPES

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

KOSAL KOM, DDS, INC (NPI 1689805012), doing business as Kosal Kom, Dds, is a healthcare organization registered as a general practice in Long Beach, California and active in the NPI registry since August 2009. The organization lists Kosal Kom, President, as its authorized official.

NPPES Registry Identity

NPI1689805012
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKOSAL KOM, DDS, INC
Location Address2338 E ANAHEIM ST, SUITE 108Long Beach, CA 90804-5730
Mailing Address2338 E Anaheim St, Suite 108Long Beach, CA 90804-5730 · (562) 434-9980
Organization SubpartNo
Authorized OfficialKosal KomPresident · (562) 434-9980
Enumeration DateAugust 3, 2009
NPI 1689805012 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 · 41442
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.
2338 E ANAHEIM ST, Long Beach, CA 90804

Other Names 1

Former Legal Business NameKosal Kom, Dds

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 4

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

Pharmacy (Community/Retail Pharmacy)
2338 E ANAHEIM ST, SUITE 100
LONG BEACH, CA 90804
Durable Medical Equipment & Medical Supplies
2338 E ANAHEIM ST, SUITE 202H
LONG BEACH, CA 90804
Dentist (General Practice)
2338 E ANAHEIM ST, SUITE 108
LONG BEACH, CA 90804
Durable Medical Equipment & Medical Supplies
2338 E ANAHEIM ST
LONG BEACH, CA 90804

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 Kosal Kom, Dds, Inc's NPI number?

The NPI number for Kosal Kom, Dds, Inc is 1689805012. It was assigned to this organization in the NPPES registry on August 3, 2009. The provider was formerly known as Kosal Kom, Dds.

Where is Kosal Kom, Dds, Inc located?

Kosal Kom, Dds, Inc is located at 2338 E Anaheim St Suite 108, Long Beach, CA 90804. The listed phone number is (562) 434-9980.

What is Kosal Kom, Dds, 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 Kosal Kom, Dds, Inc was last updated on August 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.