Dr. Anne Sooyun Kim is a San Diego, California based Dentist who is specialized in
General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Anne Sooyun Kim is
55536 for General Practice Dentistry in California. Her current practice location is
501 Washington St Ste 740, San Diego. Patients can reach her at
619-296-2172.
Dr. Anne Sooyun Kim is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Anne Sooyun Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Anne Sooyun Kim |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 501 Washington St Ste 740, San Diego,
California, 92103-2231 |
| Phone: | 619-296-2172 |
| Fax: | 619-296-2178 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1275654501 |
| NPI Enumeration Date: | 03 Apr, 2007 |
| NPI Last Update On: | 26 Apr, 2021 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Anne Sooyun Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 55536 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Anne Sooyun Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1275654501 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 19333 Bear Valley Rd, Suite 205
Apple Valley, California |
| Zip: | 92308-5148 |
| Phone Number: | 760-247-4155 |
| Fax Number: | 760-247-4955 |
Patients can reach Dr. Anne Sooyun Kim at
501 Washington St Ste 740, San Diego, California or can
call to book an appointment on 619-296-2172.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.