Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962196840 Individual Practitioner Female Practitioner

Saewon Kim

Dentist • Palmdale, CA

Professional Overview & Biography Verified Profile Summary

Saewon Kim is a registered healthcare professional specializing in Dentist in Palmdale, CA. Practice services are available at 510 W RANCHO VISTA BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

510 W Rancho Vista Blvd

Palmdale, CA 935513737

Telephone 6612023052
Associated Practice Facility / Clinic
🏢 Western Dental Services, Inc. Facility NPI 1295880946

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Palmdale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
39 Specialists

Practicing in Palmdale, CA (15331 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: 2025-09-16
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 112156

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1980 N Columbia St

Milledgeville, GA 310612020

Phone: 4783877015

16111 Plummer St

North Hills, CA 913432036

Phone: 8188917711

11301 Wilshire Blvd

Los Angeles, CA 900731003

Phone: 3104783711

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Hahnnah Park , DDS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1306460670

Doctor of Dental Surgery

NPI 1467869370

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 16, 2025

Registered at 510 W RANCHO VISTA BLVD, PALMDALE, CA 935513737 (Tel: 6612023052)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2025

Dentist (License #112156 in CA)

📍
Updated Practice Location August 18, 2024

Registered at 1980 N COLUMBIA ST, MILLEDGEVILLE, GA 310612020 (Tel: 4783877015)

NPI Profile Active June 06, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2023

Registered at 11301 WILSHIRE BLVD, LOS ANGELES, CA 900731003 (Tel: 3104783711)

📍
Updated Business Mailing Address June 06, 2023

Registered at 365 BLACKSHEAR AVE, EAST LOS ANGELES, CA 900222307 (Tel: 3233268186)

👤
Provider Name / Credentials Updated June 06, 2023

Recorded as SAEWON KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 05, 2023

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: 1962196840
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2023
Last Update: September 16, 2025
Sole Proprietor: No

Mailing Address

365 Blackshear Ave

East Los Angeles, CA 900222307

Phone: 3233268186

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.