NPI 1003507633
Jonathan Kim, DMD
Practice location
- Address
- 2050 El Cajon Blvd, San Diego, CA 92104-1007
- Phone
- (619) 637-9774
- Mailing address
- 11778 Carmel Creek Rd APT 203, San Diego, CA 92130-6606
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1003507633
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 16 May 2023
- Record last updated
- 8 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.