MEDICARE: DR. KIMBERLY WILEY DMD

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	106809	CA

General Provider Information

NPI Number	:	1306511555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIMBERLY WILEY DMD

Provider Business Mailing Address
First Line	:	5464 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90814-1923
Country	:	US
Telephone Number	:	562-357-8703
Fax Number	:

Provider Business Practice Location Address
First Line	:	6226 E SPRING ST STE 350
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90815-1447
Country	:	US
Telephone Number	:	562-425-5511
Fax Number	:

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

Provider Enumeration Date	:	08/10/2021
Last Update Date	:	08/10/2021

Similar Medicare Providers

1962622340 — DR. GARY L. GLASBAND D.D.S.
Practice Location Address:

6226 E SPRING ST STE 350
LONG BEACH, CA
90815-1447

Practice Phone: 562-425-5511
Practice Fax: 562-425-9685

1073880753 — ACUPUNCTURE PAIN RELIEF, INC.
Practice Location Address:

1447 SANTA FE AVE
LONG BEACH, CA
90813-1249

Practice Phone: 805-405-1250
Practice Fax: 661-363-6921

1184972812 — B. SCOTT, INC.
Practice Location Address:

1447 SANTA FE AVE
LONG BEACH, CA
90813-1249

Practice Phone: 562-437-9000
Practice Fax: 562-437-9001

1730986373 — KATIE STRITZEL LEP
Practice Location Address:

4340 TULANE AVE
LONG BEACH, CA
90808-1447

Practice Phone: 562-545-3433
Practice Fax:

1104694454 — DR. JUN SANG YOO PH.D.
Practice Location Address:

1600 DOVE ST STE 305
NEWPORT BEACH, CA
92660-1447

Practice Phone: 949-282-8991
Practice Fax: 949-209-3284

1538979166 — DR. ABIOLA OLUFUNLAYO OLADOKE PHD, MSHNFM, CLT
Practice Location Address:

1447 W GRAND AVE
GROVER BEACH, CA
93433-2250

Practice Phone: 805-867-7298
Practice Fax:

Directions to “ DR. KIMBERLY WILEY DMD” 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.