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CHANYOUNG KIM
NPI 1811668122
Dentist - General Practice in Loma Linda, CA

Active since September 26, 2021
25022 PROSPECT AVE APT B, LOMA LINDA, CA 92354(951) 776-6037 Get Directions Write a Review

NPPES record last updated: September 26, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chanyoung Kim NPPES

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

CHANYOUNG KIM (NPI 1811668122) is an individual general practice provider in Loma Linda, California, licensed in California (106313) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1811668122
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameCHANYOUNG KIM
Location Address25022 PROSPECT AVE APT BLoma Linda, CA 92354-2955
Mailing Address25022 Prospect Ave Apt BLoma Linda, CA 92354-2955 · (951) 776-6037
Phone(951) 776-6037
Sole ProprietorYes
Enumeration DateSeptember 26, 2021
NPPES CertifiedSeptember 26, 2021
✔ NPI 1811668122 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 · 106313
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.
25022 PROSPECT AVE APT B, Loma Linda, CA 92354
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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 Chanyoung Kim's NPI number?

The NPI number for Chanyoung Kim is 1811668122. It was assigned to this individual provider in the NPPES registry on September 26, 2021.

Where is Chanyoung Kim located?

Chanyoung Kim practices at 25022 Prospect Ave Apt B, Loma Linda, CA 92354. The listed phone number is (951) 776-6037.

What is Chanyoung 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 Chanyoung Kim was last updated on September 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.