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MR. KWANG JIN KIM D.D.S
NPI 1578611356
Dentist - Dental Public Health in Hawthorne, CA

Active since January 08, 2007PECOS Enrolled
3300 W ROSECRANS AVE, SUITE 105, HAWTHORNE, CA 90250(310) 679-3300(310) 679-3932 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kwang Jin Kim D.d.s NPPES

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

MR. KWANG JIN KIM D.D.S (NPI 1578611356) is an individual dental public health provider in Hawthorne, California, licensed in California (31300) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578611356
Entity TypeIndividualMale
Primary Taxonomy1223D0001X
Provider Legal NameMR. KWANG JIN KIMCredential: D.D.S
Location Address3300 W ROSECRANS AVE, SUITE 105Hawthorne, CA 90250-8218
Mailing Address2220 Smokewood AveFullerton, CA 92831-1107
Phone(310) 679-3300
Fax(310) 679-3932
Sole ProprietorYes
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1578611356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Dental Public HealthDental Providers
Taxonomy Code1223D0001X
License✔ Licensed in CA · 31300
Definition
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis.
3300 W ROSECRANS AVE, Hawthorne, CA 90250
Open in Google Maps ↗

Other Identifiers 1

OtherB-31300-02CA · Medical Provider Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Kwang Jin Kim D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90250 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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 2

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

REHOBOT MEDICAL SUPPLIES & EQUIPMENTS, INC.
Durable Medical Equipment & Medical Supplies
3300 W ROSECRANS AVE, SUITE 101
HAWTHORNE, CA 90250
Los Angeles County (310) 676-0406
DEFAIT HOME CARE SERVICES
Home Health
3300 W ROSECRANS AVE, SUITE 204
HAWTHORNE, CA 90250
Los Angeles County (310) 644-4499

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 Kwang Kim's NPI number?

The NPI number for Kwang Kim is 1578611356. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Kwang Kim located?

Kwang Kim practices at 3300 W Rosecrans Ave Suite 105, Hawthorne, CA 90250. The listed phone number is (310) 679-3300.

What is Kwang Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Dental Public Health, with taxonomy code 1223D0001X.

Is Kwang Kim enrolled in Medicare?

Yes. Kwang Kim is registered in the Medicare PECOS enrollment system.

What insurance does Kwang Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Kwang Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kwang Kim was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.