IndividualActive
Lisa Kim
NPI 1114615689 · Dentist · La Puente, CA
Lisa Kim is a Dentist provider in La Puente, CA (NPI 1114615689).
Provider details
- NPI number
- 1114615689
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 108939 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1643 N Hacienda Blvd
La Puente, CA 91744-1137
Phone: (626) 587-0100
Street-level locationGet directions
Mailing address
1643 N Hacienda Blvd
La Puente, CA 91744-1137
Additional practice locations (1)
- 852 Lorraine Blvd Apt 6Los Angeles, CA 90005-3619Phone: (714) 300-4002
Registry dates
- Enumerated
- 2023-04-24
- Last updated
- 2023-07-10
- Certified
- 2023-07-08
Frequently asked questions
- What is Lisa Kim's NPI number?
- Lisa Kim's National Provider Identifier (NPI) is 1114615689, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Kim's specialty?
- Lisa Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Lisa Kim located?
- Lisa Kim's practice location on file with NPPES is 1643 N Hacienda Blvd, La Puente, CA 91744-1137.
- What is Lisa Kim's phone number?
- The practice phone number listed in the NPPES registry for Lisa Kim is (626) 587-0100.
- Is Lisa Kim's NPI active?
- Yes — Lisa Kim's NPI (1114615689) is active in the NPPES registry as of the last update on 2023-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.