Individual provider · Type 1 NPI
Woojung Alyssa Kim
General Practice Dentistry · Los Angeles, CA
NPI number
1245804152
Active
Practice location
11301 Wilshire Blvd Bldg 213
Los Angeles, CA 90073-1003
Mailing address
17700 Avalon Blvd Spc 195
Carson, CA 90746-0347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 108218 (CA) |
General Practice Dentistry: 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.
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About NPI 1245804152
Woojung Alyssa Kim's National Provider Identifier is 1245804152, issued on May 15, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Los Angeles, CA. The record was last updated on Jun 17, 2025.