IndividualActive
Youngbae Kim, DDS
NPI 1962664862 · General Practice Dentistry · Los Angeles, CA
Provider details
- NPI number
- 1962664862
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 48624 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
903 Crenshaw Blvd
#303
Los Angeles, CA 90019-1964
Phone: (323) 930-4800
Fax: (323) 930-4801
Street-level locationGet directions
Mailing address
903 South Crenshaw Blvd
La, CA 90019
Registry dates
- Enumerated
- 2008-07-01
- Last updated
- 2016-05-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.