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

Lisa Seongah Kim

Individual provider Dentist · NPI 1114615689

Lisa Seongah Kim is a Dentist in LA Puente, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1643 N Hacienda Blvd
LA Puente, CA 91744-1137
Phone: (626) 587-0100
Show map & directions

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

Additional practice locations (1)

  • 852 Lorraine Blvd Apt 6, Los Angeles, CA 90005-3619 — (714) 300-4002

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 108939 (CA)

Record details

NPI number1114615689
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESJuly 10, 2023
Certification dateJuly 8, 2023

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