KWANG JIN KIM DDS
NPI 1992105142
Preferred Provider Organization in Hawthorne, CA

Q: What is Kwang Jin Kim Dds's NPI number?

The NPI number for Kwang Jin Kim Dds is 1992105142. It was assigned to this organization in the NPPES registry on August 25, 2014.

Q: What is Kwang Jin Kim Dds's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kwang Jin Kim Dds was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 25, 2014

3300 W ROSECRANS AVE STE 105, HAWTHORNE, CA 90250(310) 679-3300(310) 679-3932 Get Directions Write a Review

NPPES record last updated: August 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kwang Jin Kim Dds NPPES

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

KWANG JIN KIM DDS (NPI 1992105142) is a healthcare organization registered as a preferred provider organization in Hawthorne, California and active in the NPI registry since August 2014. The organization lists Kwang Jin Kim, President, as its authorized official.

NPPES Registry Identity

NPI1992105142

Entity TypeOrganization

Primary Taxonomy305R00000X

Legal Business NameKWANG JIN KIM DDS

Location Address3300 W ROSECRANS AVE STE 105Hawthorne, CA 90250-8218

Mailing Address3300 W Rosecrans Ave Ste 105Hawthorne, CA 90250-8218 · (310) 679-3300 · Fax (310) 679-3932

Phone(310) 679-3300

Fax(310) 679-3932

Organization SubpartNo

Authorized OfficialKwang Jin KimPresident · (310) 679-3300

Enumeration DateAugust 25, 2014

✔ NPI 1992105142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations

Taxonomy Code305R00000X

License✔ Licensed in CA · 31300

Definition

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.

3300 W ROSECRANS AVE STE 105, Hawthorne, CA 90250

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Other Providers at the Same Location NPPES

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

JASON KIM DENTAL CORPORATION

Clinic/Center (Dental)

3300 W ROSECRANS AVE STE 105
HAWTHORNE, CA 90250

Los Angeles County (310) 679-3300

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 Jin Kim Dds's NPI number?

The NPI number for Kwang Jin Kim Dds is 1992105142. It was assigned to this organization in the NPPES registry on August 25, 2014.

Where is Kwang Jin Kim Dds located?

Kwang Jin Kim Dds is located at 3300 W Rosecrans Ave Ste 105, Hawthorne, CA 90250. The listed phone number is (310) 679-3300.

What is Kwang Jin Kim Dds's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Kwang Jin Kim Dds was last updated on August 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.