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

Jisun Kim

Individual provider General Practice Dentistry · NPI 1518722941

Jisun Kim is a General Practice Dentistry in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

2310 Craven St Unit 3230
San Diego, CA 92136-5596
Phone: (619) 556-8240
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 112452 (CA)

Record details

NPI number1518722941
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 15, 2024
Last updated in NPPESOctober 15, 2025
Certification dateOctober 15, 2025

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