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

Q: 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.

Q: What is So Won Kim's specialty?

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

Q: 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 11 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.

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: August 16, 2026.

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

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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 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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