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

Spencer Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1184155400

Spencer Kim is a Student in an Organized Health Care Education/Training Program in Manteca, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2288 Daniels St
Manteca, CA 95337-6706
Phone: (209) 456-5610
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 642 Ulukahiki St Ste 308, Kailua, HI 96734-4439 — (808) 261-5354

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DDS111451 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1184155400
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 27, 2017
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address2288 Daniels St, Manteca, CA 95337-6706

Other providers in Manteca