Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jae G. Kim Professional Dental Corporation

Organization General Practice Dentistry · NPI 1043439953

Jae G. Kim Professional Dental Corporation is a General Practice Dentistry in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

2500 Wilshire Blvd Ste 1100
Los Angeles, CA 90057-4303
Phone: (213) 385-9710
Fax: (213) 385-9343
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 41439 (CA)

Record details

NPI number1043439953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Inwoo Yi — Secretary · (213) 385-9710
NPI enumeratedApril 25, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2500 Wilshire Blvd, Suite 1100, Los Angeles, CA 90057-4303

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