Jisun Kim is a San Diego, California based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jisun Kim is
112452 for General Practice Dentistry in California. His current practice location is
2310 Craven St Unit 3230, San Diego. Patients can reach him at
619-556-8240.
Jisun Kim is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Jisun 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: | Jisun Kim |
| Specialization: | Dentist |
| Gender: | Male |
| Accepts Medicare Assignment: | No |
| Practice Address: | 2310 Craven St Unit 3230, San Diego,
California, 92136-5596 |
| Phone: | 619-556-8240 |
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: | 1518722941 |
| NPI Enumeration Date: | 15 Feb, 2024 |
| NPI Last Update On: | 15 Oct, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jisun Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 112452 | General Practice Dentistry | California | Primary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 800 Broadway Apt 1807,
San Diego, California |
| Zip: | 92101-5656 |
| Phone Number: | 831-359-3687 |
Patients can reach Jisun Kim at
2310 Craven St Unit 3230, San Diego, California or can
call to book an appointment on 619-556-8240.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.