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AMANDA YJ KIM DDS
NPI 1790309243
Dentist - General Practice in Los Angeles, CA

Active since June 01, 2020
714 TIVERTON AVE, LOS ANGELES, CA 90095(408) 529-4423 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 9, 2023, Jun 1, 2020 (2 updates tracked since 2020).

About Amanda Yj Kim Dds NPPES

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

AMANDA YJ KIM DDS (NPI 1790309243) is an individual general practice provider in Los Angeles, California, licensed in California (107393) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1790309243
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameAMANDA YJ KIMCredential: DDS
Location Address714 TIVERTON AVELos Angeles, CA 90095-8361
Mailing Address714 Tiverton AveLos Angeles, CA 90095-8361 · (310) 825-9295
Phone(408) 529-4423
Sole ProprietorYes
Enumeration DateJune 1, 2020
Last NPPES UpdateFebruary 2, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1790309243 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 · 107393
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.
714 TIVERTON AVE, Los Angeles, CA 90095
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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.

PEGA MOGHADAM HAJIAN
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
DR. MYUNG S CHA DDS
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6510
ARYEH JULIUS IOSIF
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5619
DR. JEREMIAH WARREN DDS
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
JONATHAN JOSEPH KOREL
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
DR. YATING PRISCILLA YOUNG DDS
Dentist (Periodontics)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3795
DR. AIDA SHADRAV DMD
Dentist (Pediatric Dentistry)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
LIANA H SHEILY
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 794-5750

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 Amanda Kim's NPI number?

The NPI number for Amanda Kim is 1790309243. It was assigned to this individual provider in the NPPES registry on June 1, 2020.

Where is Amanda Kim located?

Amanda Kim practices at 714 Tiverton Ave, Los Angeles, CA 90095. The listed phone number is (408) 529-4423.

What is Amanda Kim'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 Amanda Kim was last updated on February 2, 2024. 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.