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Active NPI 1922022458 Individual Practitioner Male Practitioner

Dr. Peter Ung Kwon Kim , DDS

Dentist - General Practice • Brea, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Brea, CA. Practice services are available at 1770 E LAMBERT RD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1770 E Lambert Rd Ste 110

Brea, CA 928218001

Telephone 7145290100
Fax 7145999898

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brea, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
44 Specialists

Practicing in Brea, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-12-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 49769

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 13, 2021

Registered at 1770 E LAMBERT RD STE 110, BREA, CA 928218001 (Tel: 7145290100)

📍
Updated Business Mailing Address December 13, 2021

Registered at 1770 E LAMBERT RD STE 110, BREA, CA 928218001 (Tel: 7145290100)

NPI Profile Active December 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location December 20, 2013

Registered at 11899 DEL AMO BLVD, CERRITOS, CA 907037605 (Tel: 5624024411)

📍
Updated Business Mailing Address December 20, 2013

Registered at 11899 DEL AMO BLVD, CERRITOS, CA 907037605 (Tel: 5624024411)

👤
Provider Name / Credentials Updated December 20, 2013

Recorded as PETER KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2013

Dentist (License #49769 in CA)

🟢
Initial NPI Registration & Enumeration July 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1922022458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 27, 2006
Last Update: December 13, 2021
Sole Proprietor: Yes

Mailing Address

1770 E Lambert Rd Ste 110

Brea, CA 928218001

Phone: 7145290100

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.