National Provider Identifier Database

PETER KIM DDS PROFESSIONAL CORP
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

PETER KIM, D.D.S., PROFESSIONAL CORP.
11899 DEL AMO BLVD
CERRITOS, CA90703-7605
Phone: 562-402-4411
Fax: 562-402-5052
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PETER KIM, D.D.S., PROFESSIONAL CORP.

NPI Number 1376964064
Legal business name
LBN
PETER KIM, D.D.S., PROFESSIONAL CORP.
Authorized official PETER KIM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/23/2013
Last updated 12/23/2013 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 49769

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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