Dr. Sunny Song Mi Kim , DDS
Dentist - General Practice • Norwalk, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Sunny Kim has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Sunny Kim, DDS was a registered Dentist - General Practice practicing in Norwalk, CA. Throughout an active medical career spanning 16 years, Dr. Kim provided care at the practice location at 13041 ROSECRANS AVE # 207 until profile deactivation on 2023-07-26.
Practice Location & Contact Primary Location
13041 Rosecrans Ave # 207
Norwalk, CA 906500504
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Norwalk, CA
Practicing in Norwalk, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Record deactivated on July 26, 2023
NPI status registered as active in NPPES database
Registered at 13041 ROSECRANS AVE # 207, NORWALK, CA 906500504 (Tel: 5624041614)
Registered at 13041 ROSECRANS AVE # 207, NORWALK, CA 906500504 (Tel: 5624041614)
Recorded as SUNNY KIM, DDS
Dentist (License #43620 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
13041 Rosecrans Ave # 207
Norwalk, CA 906500504
Phone: 5624041614
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