Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JISUN KIM
Active Sole ProprietorJISUN KIM is a General Dentistry healthcare provider located in SAN DIEGO, California. NPI 1518722941 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · SAN DIEGO, CA
Registration Details
- NPI Number
- 1518722941
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2024 (2.4905778951489 yrs)
- Last Updated
- Oct 15, 2025
- License
-
112452 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2310 CRAVEN ST UNIT 3230SAN DIEGO, CA, 921365596Browse CA providers · Browse ZIP 92136
- Phone
- 6195568240
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| DR. GEORGE JOHN STRATIGOPOULOS | D.D.S. | 1467455410 |
| GORDANA MILATOVIC | DDS | 1366445363 |
| CLAUDINE WAI-TING TSUI | DDS | 1235131368 |
| DR. CAROL GOMEZ SUMMERHAYS | D.D.S | 1346244621 |
| DR. DOUG DISRAELI | D.D.S. | 1376547703 |
| DR. HARRIET F SELDIN | DMD | 1104821156 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.