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

Dr. Ellen Wonsun Im, DDS

Individual provider Pediatric Dentistry · NPI 1023029220

Dr. Ellen Wonsun Im, DDS is a Pediatric Dentistry in Poway, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

13422 Pomerado Rd Ste 201
Poway, CA 92064-3548
Phone: (410) 644-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 63073 (CA)

Record details

NPI number1023029220
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 11, 2006
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021
Mailing address13422 Pomerado Rd, Suite 201, Poway, CA 92064

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