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

Ha Jung Kim

Individual provider Dentist · NPI 1275772063

Ha Jung Kim is a Dentist in Gonzales, California. Practices as a sole proprietor. Licensed in California and Ohio.

Licensed in
CA, OH
In the registry since
2009
Specialties on file
3

Practice location Address checks out

851 5th St Ste H
Gonzales, CA 93926-9437
Phone: (831) 240-0865
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 54710 (CA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 54710 (CA)
Dentist Taxonomy 122300000X · Licence 30-022952 (OH)

Record details

NPI number1275772063
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 18, 2009
Last updated in NPPESFebruary 3, 2012

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