MEDICARE: KATELYN KCOMT DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	111303	CA
2	122300000X	Dentist	111303	CA

General Provider Information

NPI Number	:	1770373342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATELYN KCOMT DDS

Provider Business Mailing Address
First Line	:	4161 REDONDO BEACH BLVD # 200
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4161 REDONDO BEACH BLVD # 200
Second Line	:
City	:	LAWNDALE
State	:	CA
Zip	:	90260-3340
Country	:	US
Telephone Number	:	310-371-6513
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/08/2025
Last Update Date	:	05/08/2025

Similar Medicare Providers

1538272802 — SAM YOON MD
Practice Location Address:

4177 REDONDO BEACH BLVD
LAWNDALE, CA
90260-3340

Practice Phone: 310-214-1407
Practice Fax: 310-214-1488

1124318662 — ERIC L LIN DDS DENTAL CORPORATION
Practice Location Address:

4181 REDONDO BEACH BLVD
LAWNDALE, CA
90260-3340

Practice Phone: 310-371-6513
Practice Fax:

1588302665 — LAURA LONWAH JIN
Practice Location Address:

4161 REDONDO BEACH BLVD STE 100
LAWNDALE, CA
90260-3340

Practice Phone: 310-214-1407
Practice Fax:

1346199445 — FULL CIRCLE OF LIVING LLC
Practice Location Address:

4711 ARTESIA BLVD
LAWNDALE, CA
90260-3100

Practice Phone: 707-225-2279
Practice Fax:

1346108404 — SPEECH PLAY LOVE LOS ANGELES
Practice Location Address:

15223 KORNBLUM AVE
LAWNDALE, CA
90260-2442

Practice Phone: 310-961-7567
Practice Fax:

1982097507 — NIDIA IRENE LEON
Practice Location Address:

15528 CORDARY AVE
LAWNDALE, CA
90260-3527

Practice Phone: 424-244-2613
Practice Fax:

Directions to “ KATELYN KCOMT DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.