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SO WON KIM MD
NPI 1316696453
Internal Medicine in Torrance, CA

Active since March 23, 2022PECOS EnrolledAccepts Medicare Assignment
4101 TORRANCE BLVD, TORRANCE, CA 90503(310) 374-8191(310) 303-6834 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 12, 2025, Jun 20, 2025 (2 updates tracked since 2025).

About So Won Kim Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SO WON KIM MD (NPI 1316696453) is an individual internal medicine provider in Torrance, California, licensed in California (A191137) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sylmar, and is a graduate of Wright State University Boonshoft School Of Medicine (2022).

NPPES Registry Identity

NPI1316696453
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSO WON KIMCredential: MD
Location Address4101 TORRANCE BLVDTorrance, CA 90503-4607
Mailing Address14445 Olive View DrSylmar, CA 91342-1437 · (747) 210-3205
Phone(310) 374-8191
Fax(310) 303-6834
Sole ProprietorYes
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2022
Enumeration DateMarch 23, 2022
Last NPPES UpdateSeptember 12, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2025
✔ NPI 1316696453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A191137
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4101 TORRANCE BLVD, Torrance, CA 90503
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Secondary Practice Location 1

Location 114445 Olive View DrSylmar, CA 91342-1437 · Phone (747) 210-3205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

So Won Kim Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486160223
PECOS Enrollment IDI20250718004126
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show So Won Kim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Institute
Same address
Family Medicine
4101 TORRANCE BLVD
Torrance, CA 90503
  • Reassigned Medicare billing, California enrollment
  • 266 clinicians in this Medicare group
NPI 1235182569 (310) 793-8075
Southern California Permanente Medical Group
4.9 mi
Health Maintenance Organization
25825 VERMONT AVE
Harbor City, CA 90710
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 clinicians in this Medicare group
NPI 1598797011 (310) 325-5111
Permanente Medical Group Inc
316 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROVIDENCE LITTLE COMPANY OF MARY MEDICAL CENTER TORRANCE
General Acute Care Hospital
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-6840
FLORA AMY LEE
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
AZIZ ZAOUADI NP
Nurse Practitioner (Family)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (323) 494-7440
LEAH SUZANNE GLAVAN BSN RN CIS
Clinical Nurse Specialist (Informatics)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
ADVANCED IMAGING OF SOUTH BAY, INC.
Radiology (Diagnostic Radiology)
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5750
NICHOLAS J MONDEK
Anesthesiology
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 540-7676
THU LAN TRAN
Pharmacist
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5770
NICHOLAS SAADE MD
Emergency Medicine
4101 TORRANCE BLVD
TORRANCE, CA 90503
Los Angeles County (310) 303-5600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is So Won Kim's NPI number?

The NPI number for So Won Kim is 1316696453. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is So Won Kim located?

So Won Kim practices at 4101 Torrance Blvd, Torrance, CA 90503. The listed phone number is (310) 374-8191.

What is So Won Kim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is So Won Kim enrolled in Medicare?

Yes. So Won Kim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for So Won Kim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), So Won Kim reassigns Medicare benefits to 3 organizations: Providence Medical Institute (Torrance, CA), Southern California Permanente Medical Group (Harbor City, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for So Won Kim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for So Won Kim was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.