Boung Yeop Kim DDS Inc
NPI 1912421942ActiveOrganization· Dentist, General Practice· Garden Grove, CA
Dentist, General Practice in Garden Grove, California, registered in NPPES in August 2017. The authorized official on file is Boung Yeop Kim, DDS, Dentist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912421942 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 1, 2017 |
| Last updated in NPPES | Sep 2, 2025 |
| Certified by provider | Jun 10, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 101060 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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