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Kwang Jin Kim Dds
Preferred Provider Organization in Hawthorne, California
NPI 1992105142

Kwang Jin Kim Dds is a Preferred Provider Organization based in Hawthorne, CA. Kwang Jin Kim Dds practices in Hawthorne, CA. The NPI Number for Kwang Jin Kim Dds is 1992105142 and holds a License No. 31300 (California).

The current practice location address for Kwang Jin Kim Dds is 3300 W Rosecrans Ave Ste 105, Hawthorne, CA and can be reached out via phone at 310-679-3300 and via fax at 310-679-3932.

Location: 3300 W Rosecrans Ave Ste 105, Hawthorne, CA, 90250-8218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992105142
Provider Name
Kwang Jin Kim Dds
Credential
Provider Entity Type
Organization
Address
3300 W Rosecrans Ave Ste 105, Hawthorne, CA, 90250-8218
Phone Number
310-679-3300
Fax Number
310-679-3932
Provider Enumeration Date
08/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3300 W Rosecrans Ave Ste 105
City
Hawthorne
State
California
Zip
90250-8218
Phone Number
310-679-3300
Fax Number
310-679-3932
person
Provider Business Mailing Address Details
Address
3300 W Rosecrans Ave Ste 105
City
Hawthorne
State
California
Zip
90250-8218
Phone Number
310-679-3300
Fax Number
310-679-3932
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
31300 (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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