KOSAL KOM DDS INC NPI 1689805012

NPI Information

  • NPI: 1689805012
  • Provider Name: KOSAL KOM, DDS, INC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Former Legal Business Name: KOSAL KOM, DDS
  • Address: 2338 E ANAHEIM ST
    SUITE 108
    LONG BEACH, CA
    ZIP 90804
  • Phone: (562) 434-9980

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NPI Details

KOSAL KOM, DDS, INC is a general practice dentist in Long Beach, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. KOSAL KOM, DDS, INC NPI is 1689805012. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Kosal Kom, Dds.

The provider's business location address is:

2338 E ANAHEIM ST
SUITE 108
LONG BEACH, CA
ZIP 90804-730
Phone: (562) 434-9980

The provider's authorized official is Kosal Kom .
The authorized official title is President and has the following contact phone number (562) 434-9980.

The enumeration date for this NPI number is 8/3/2009 and was last updated on 8/3/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice41442CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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