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

Chanyoung Kim

Individual provider General Practice Dentistry · NPI 1811668122

Chanyoung Kim is a General Practice Dentistry in Loma Linda, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

25022 Prospect Ave Apt B
Loma Linda, CA 92354-2955
Phone: (951) 776-6037
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 106313 (CA)

Record details

NPI number1811668122
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 26, 2021
Last updated in NPPESSeptember 26, 2021
Certification dateSeptember 26, 2021

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