Doctor profile · Federal record
Dr. Michael Kim
General Practice Dentistry · Rancho Cucamonga, CA
- NPI 1679248850
- 5 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
12455 Victoria Gardens Ln
Rancho Cucamonga, CA 917397530
(909) 646-3057 - Mailing address
-
12167 Danville Dr
Rancho Cucamonga, CA 917392449
Credentials & registration
- NPI registered
- August 2021 — 5 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #106817
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1679248850. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$59
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| COLGATE ORAL PHARMACEUTICALS, INC. | 1 | $59.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
45
Patients
34
Total drug cost
$336
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 12 | 12 | $78 |
| Chlorhexidine Gluconate | Generic | 11 | 11 | $74 |
| Clindamycin Hcl | Generic | 11 | 0 | $128 |
| Ibuprofen | Generic | 11 | 11 | $56 |
Frequently asked questions
What is Dr. Michael Kim's medical specialty?
Dr. Michael Kim practices General Practice Dentistry in Rancho Cucamonga, CA.
Where does Dr. Michael Kim practice?
Dr. Michael Kim practices at 12455 Victoria Gardens Ln, Rancho Cucamonga, CA 917397530. Office phone: 9096463057.
What is Dr. Michael Kim's NPI?
Dr. Michael Kim's National Provider Identifier (NPI) is 1679248850, issued by NPPES.