National Provider Identifier Database

KWANG JIN KIM DDS
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

KWANG JIN KIM DDS
3300 W ROSECRANS AVE STE 105
HAWTHORNE, CA90250-8218
Phone: 310-679-3300
Fax: 310-679-3932
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for KWANG JIN KIM DDS

NPI Number 1992105142
Legal business name
LBN
KWANG JIN KIM DDS
Authorized official KWANG KIM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/25/2014
Last updated 08/25/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 31300

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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