OrganizationActive
Kosal Kom, DDS, Inc
NPI 1689805012 · General Practice Dentistry · Long Beach, CA
Kosal Kom, DDS, Inc is a General Practice Dentistry organization in Long Beach, CA (NPI 1689805012).
Provider details
- NPI number
- 1689805012
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kosal Kom, President(562) 434-9980
- License
- 41442 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
2338 E Anaheim St
Suite 108
Long Beach, CA 90804-5730
Phone: (562) 434-9980
Street-level locationGet directions
Mailing address
2338 E Anaheim St
Long Beach, CA 90804-5730
Other names (DBA / former)
- Former legal business name
- Kosal Kom, DDS
Registry dates
- Enumerated
- 2009-08-03
- Last updated
- 2009-08-03
Frequently asked questions
- What is Kosal Kom, DDS, Inc's NPI number?
- Kosal Kom, DDS, Inc's National Provider Identifier (NPI) is 1689805012, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kosal Kom, DDS, Inc?
- Kosal Kom, DDS, Inc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kosal Kom, DDS, Inc located?
- Kosal Kom, DDS, Inc's practice location on file with NPPES is 2338 E Anaheim St, Long Beach, CA 90804-5730.
- What is Kosal Kom, DDS, Inc's phone number?
- The practice phone number listed in the NPPES registry for Kosal Kom, DDS, Inc is (562) 434-9980.
- Who is the authorized official for Kosal Kom, DDS, Inc?
- The authorized official listed on Kosal Kom, DDS, Inc's NPPES record is Kosal Kom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kosal Kom, DDS, Inc's NPI active?
- Yes — Kosal Kom, DDS, Inc's NPI (1689805012) is active in the NPPES registry as of the last update on 2009-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.