DR. SOO YEON KIM DDS
NPI 1821601121
Dentist - General Practice in Chino, CA

Q: What is Soo Yeon Kim's NPI number?

The NPI number for Soo Yeon Kim is 1821601121. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Soo Yeon Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Soo Yeon Kim was last updated on December 12, 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.

Active since August 26, 2020

4514 PHILADELPHIA ST STE A, CHINO, CA 91710(909) 443-2618 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 12, 2023, Sep 11, 2020, Aug 26, 2020 (3 updates tracked since 2020).

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About Dr. Soo Yeon Kim Dds NPPES

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

DR. SOO YEON KIM DDS (NPI 1821601121) is an individual general practice provider in Chino, California, licensed in California (105375) and active in the NPI registry since August 2020. She maintains a secondary practice location in Chino Hills.

NPPES Registry Identity

NPI1821601121

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. SOO YEON KIMCredential: DDS

Location Address4514 PHILADELPHIA ST STE AChino, CA 91710-2240

Mailing Address4514 Philadelphia St Ste AChino, CA 91710-2240

Phone(909) 443-2618

Sole ProprietorNo

Enumeration DateAugust 26, 2020

Last NPPES UpdateDecember 12, 20233 updates tracked since enumeration

NPPES CertifiedDecember 8, 2023

✔ NPI 1821601121 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 · 105375

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.

4514 PHILADELPHIA ST STE A, Chino, CA 91710

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Secondary Practice Location 1

Location 14020 Chino Hills Pkwy Ste AChino Hills, CA 91709-2678 · Phone (909) 597-4711

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 Soo Yeon Kim's NPI number?

The NPI number for Soo Yeon Kim is 1821601121. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Where is Soo Yeon Kim located?

Soo Yeon Kim practices at 4514 Philadelphia St Ste A, Chino, CA 91710. The listed phone number is (909) 443-2618.

What is Soo Yeon 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 Soo Yeon Kim was last updated on December 12, 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.