Rick Tae Kim is a Lakewood, 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 Rick Tae Kim is
48622 for General Practice Dentistry in California. His current practice location is
21012 Norwalk Blvd, Lakewood. Patients can reach him at
562-860-8828.
Rick Tae 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:
Rick Tae 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: | Rick Tae Kim |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 21012 Norwalk Blvd, Lakewood,
California, 90715-1503 |
| Phone: | 562-860-8828 |
| Fax: | 562-869-0444 |
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: | 1124156427 |
| NPI Enumeration Date: | 01 Mar, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rick Tae Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 48622 | General Practice Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Rick Tae Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| G92417-01 | Other | California | DENTI-CAL |
| G92789-01 | Other | California | DENTI-CAL |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 13249 Beach St,
Cerritos, California |
| Zip: | 90703-1329 |
| Phone Number: | 562-921-8093 |
Patients can reach Rick Tae Kim at
21012 Norwalk Blvd, Lakewood, California or can
call to book an appointment on 562-860-8828.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.