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Peter Kim, D.d.s., Professional Corp.
Preferred Provider Organization in Cerritos, California
NPI 1376964064

Peter Kim, D.d.s., Professional Corp. is a Preferred Provider Organization based in Cerritos, CA. Peter Kim, D.d.s., Professional Corp. practices in Cerritos, CA. The NPI Number for Peter Kim, D.d.s., Professional Corp. is 1376964064 and holds a License No. 49769 (California).

The current practice location address for Peter Kim, D.d.s., Professional Corp. is 11899 Del Amo Blvd, Cerritos, CA and can be reached out via phone at 562-402-4411 and via fax at 562-402-5052.

Location: 11899 Del Amo Blvd, Cerritos, CA, 90703-7605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376964064
Provider Name
Peter Kim, D.d.s., Professional Corp.
Credential
Provider Entity Type
Organization
Address
11899 Del Amo Blvd, Cerritos, CA, 90703-7605
Phone Number
562-402-4411
Fax Number
562-402-5052
Provider Enumeration Date
12/23/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11899 Del Amo Blvd
City
Cerritos
State
California
Zip
90703-7605
Phone Number
562-402-4411
Fax Number
562-402-5052
person
Provider Business Mailing Address Details
Address
11899 Del Amo Blvd
City
Cerritos
State
California
Zip
90703-7605
Phone Number
562-402-4411
Fax Number
562-402-5052
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
49769 (California)
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.
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