IndividualActiveAccepts Medicare
Eunock Kim
NPI 1710078829 · Dentist · Los Angeles, CA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1710078829
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 42341 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1530 S Olive St
Los Angeles, CA 90015-3023
Phone: (213) 746-1037
Fax: (213) 746-9379
Street-level locationGet directions
Mailing address
1530 S Olive St
Los Angeles, CA 90015-3023
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.