Doctor profile · Federal record
Dr. Soodong Kim, D.D.S.
General Practice Dentistry · San Bernardino, CA
- NPI 1689720740
- 19 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1728 N D St
San Bernardino, CA 924054418
(909) 886-0087
fax (909) 886-3533 - Mailing address
-
2615 Canada Blvd, #303
Glendale, CA 912082076
Credentials & registration
- NPI registered
- January 2007 — 19 yrs on file
- Profile last updated
- July 9, 2007
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- California #38859
- Medicaid
- CA #G94047-01
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1689720740. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$300
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| ZIMVIE INC. | 1 | $300.00 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
78
Patients
72
Total drug cost
$339
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Amoxicillin | Generic | 48 | 44 | $217 |
| Ibuprofen | Generic | 30 | 28 | $121 |
Frequently asked questions
What is Dr. Soodong Kim's medical specialty?
Dr. Soodong Kim practices General Practice Dentistry in San Bernardino, CA.
Where does Dr. Soodong Kim practice?
Dr. Soodong Kim practices at 1728 N D St, San Bernardino, CA 924054418. Office phone: 9098860087.
What is Dr. Soodong Kim's NPI?
Dr. Soodong Kim's National Provider Identifier (NPI) is 1689720740, issued by NPPES.