Kosal Kom, DDS, Inc
Kosal Kom, DDS, Inc is a healthcare organization registered as General Practice Dentistry in Long Beach, CA, holding Type 2 (organization) NPI 1689805012 since 2009. The authorized official on file is Kosal Kom, President.
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| NPI | 1689805012 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kosal Kom, DDS, Inc |
| Other name | <Unavail> |
| Practice address | 2338 E ANAHEIM ST, SUITE 108, Long Beach, CA, 90804 |
| Phone | 5624349980 |
| Enumeration date | 2009-08-03 |
| Last updated in NPPES | 2009-08-03 |
Authorized official
| Name | Kosal Kom |
|---|---|
| Title | President |
| Phone | 5624349980 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 41442 | CA |
Copy-ready billing details
Provider: Kosal Kom, DDS, Inc NPI: 1689805012 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 2338 E ANAHEIM ST, SUITE 108, Long Beach, CA, 90804
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1669417168 | Promise & Delivery Medical Supply | Organization | Durable Medical Equipment & Medical Supplies | Long Beach, CA |
| 1295805430 | Phnom Pich Pharmacy Inc | Organization | Community/Retail Pharmacy | Long Beach, CA |
| 1710034566 | Kosal Kom | Individual | General Practice Dentistry | Long Beach, CA |
| 1891936803 | Babatunde Akande | Individual | Durable Medical Equipment & Medical Supplies | Long Beach, CA |
Verify this record
Cross-check NPI 1689805012 against the authoritative CMS record: view Kosal Kom, DDS, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Kosal Kom, DDS, Inc?
Who is the authorized official for Kosal Kom, DDS, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2009-08-03.