EUNOCK KIM
NPI 1710078829
Dentist in Los Angeles, CA

Q: What is Eunock Kim's NPI number?

The NPI number for Eunock Kim is 1710078829. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Eunock Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Eunock Kim was last updated on March 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 27, 2006PECOS Enrolled

1530 S OLIVE ST, LOS ANGELES, CA 90015(213) 746-1037(213) 746-9379 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Eunock Kim NPPES

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

EUNOCK KIM (NPI 1710078829) is an individual dentist in Los Angeles, California, licensed in California (42341) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710078829

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameEUNOCK KIM

Location Address1530 S OLIVE STLos Angeles, CA 90015-3023

Mailing Address1530 S Olive StLos Angeles, CA 90015-3023 · (213) 746-1037 · Fax (213) 746-9379

Phone(213) 746-1037

Fax(213) 746-9379

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateMarch 10, 2021

NPPES CertifiedMarch 10, 2021

✔ NPI 1710078829 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 42341

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1530 S OLIVE ST, Los Angeles, CA 90015

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eunock Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MS. ANA MARISELA MANCILLA

Specialist/Technologist (Speech-Language Assistant)