DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KI WAN KIM, D.D.S.

Active Sole Proprietor

DR. KI WAN KIM, D.D.S. is a Endodontics healthcare provider located in OCEANSIDE, California. NPI 1689961120 is currently active in the NPPES registry. Verify at CMS.

Endodontics · OCEANSIDE, CA

Registration Details

NPI Number
1689961120
Provider Type
Individual
Gender
Male
NPI Issued
Jul 5, 2011 (15.109187841539 yrs)
Last Updated
Nov 14, 2014
License
63507 (CA)
Sole Proprietor
Yes

Practice Information

Address
3601 VISTA WAY
SUITE #202
OCEANSIDE, CA, 920564559
Browse CA providers · Browse ZIP 92056
Phone
7604391871
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Endodontics

Other Endodontics Providers in OCEANSIDE, CA

Name Credential NPI
CHAD BURGESS 1821173022
DR. GRANT RUSSELL RUTHERFORD DDS, MS 1780990168
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.