Organization · Type 2 NPI

Kwang Jin Kim DDS

Preferred Provider Organization · Hawthorne, CA

NPI number 1992105142 Active

Practice location

3300 W Rosecrans Ave Ste 105
Hawthorne, CA 90250-8218

Fax (310) 679-3932

Specialties and licenses

TaxonomyCodeLicense
Preferred Provider Organization Primary 305R00000X31300 (CA)

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.

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About NPI 1992105142

Kwang Jin Kim DDS's National Provider Identifier is 1992105142, issued on Aug 25, 2014. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Hawthorne, CA. The record was last updated on Aug 25, 2014.