Jisoo Kim is a San Jose, California based Dentist who is specialized in
Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jisoo Kim is
109428 for Dentistry in California. Her current practice location is
1628 Hostetter Rd Ste J, San Jose. Patients can reach her at
408-929-9999.
Jisoo 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:
Jisoo 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: | Jisoo Kim |
| Specialization: | Dentist |
| Gender: | Female |
| Accepts Medicare Assignment: | No |
| Practice Address: | 1628 Hostetter Rd Ste J, San Jose,
California, 95131-3309 |
| Phone: | 408-929-9999 |
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: | 1013796309 |
| NPI Enumeration Date: | 26 Sep, 2023 |
| NPI Last Update On: | 26 Sep, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jisoo Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 109428 | Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1887 Greenfield Ave Apt 310,
Los Angeles, California |
| Zip: | 90025-4416 |
| Phone Number: | 202-684-0703 |
Patients can reach Jisoo Kim at
1628 Hostetter Rd Ste J, San Jose, California or can
call to book an appointment on 408-929-9999.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.