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

Namgu Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1821588039

Namgu Kim is a Student in an Organized Health Care Education/Training Program in Artesia, California. Works from 2 locations. Licensed in California and Nevada.

Licensed in
CA, NV
In the registry since
2018
Specialties on file
2

Practice location Address checks out

11635 S St
Artesia, CA 90701-6628
Phone: (562) 924-4401
Show map & directions

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

Additional practice locations (1)

  • 11321 Scott Creek Dr Sw, Olympia, WA 98512-9036 — (503) 686-4289

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 106535 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NV)

Record details

NPI number1821588039
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2018
Last updated in NPPESAugust 6, 2021
Certification dateAugust 6, 2021
Mailing address11315 Scott Creek Dr Sw, Olympia, WA 98512-9036

Other providers in Artesia