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

Dr. Gina Yeawon Kim, DDS

Individual provider General Practice Dentistry · NPI 1528802840

Dr. Gina Yeawon Kim, DDS is a General Practice Dentistry in Riverside, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024
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

6859 Magnolia Ave Ste 2
Riverside, CA 92506-2866
Phone: (951) 682-0810
Fax: (951) 289-9552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 110180 (CA)

Record details

NPI number1528802840
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 21, 2024
Last updated in NPPESJune 21, 2024
Certification dateJune 21, 2024

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