GITAE KIM DENTAL GROUP INC NPI 1962919571

NPI Information

  • NPI: 1962919571
  • Provider Name: GITAE KIM DENTAL GROUP INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 3054 W 8TH ST STE 106
    LOS ANGELES, CA
    ZIP 90005
  • Phone: (213) 384-2864

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NPI Details

GITAE KIM DENTAL GROUP INC is a dental clinic center in Los Angeles, CA. GITAE KIM DENTAL GROUP INC NPI is 1962919571. The provider is registered as an organization entity type.

The provider's business location address is:

3054 W 8TH ST STE 106
LOS ANGELES, CA
ZIP 90005-895
Phone: (213) 384-2864
Fax: (213) 384-2386

The provider's authorized official is Gitae Kim .
The authorized official title is Dentist And Owner and has the following contact phone number (213) 384-2864.

The enumeration date for this NPI number is 1/4/2018 and was last updated on 1/4/2018.

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
1261QD0000XClinic/CenterDental58750CALIFORNIAYes

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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