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

Samuel Junwon Kim

Individual provider Dentist · NPI 1861186165

Samuel Junwon Kim is a Dentist in Altadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

2095 Lincoln Ave # 201
Altadena, CA 91001-5478
Phone: (626) 610-4413
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 113196 (CA)

Record details

NPI number1861186165
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 8, 2023
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026
Mailing address2552 E Crane Ct, Ontario, CA 91761-8587

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