JASON KIM DENTAL CORPORATION (NPI# 1346857943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346857943 |
| Entity Type | Organization |
| Organization Name | JASON KIM DENTAL CORPORATION |
| Practice Address |
3300 W Rosecrans Ave Ste 105 Hawthorne CA 90250-8218 |
| Practice Telephone | 3106793300 |
| Mailing Telephone | 3106793300 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | DR. JASON KIM (PRESIDENT) |
| Authorized Official Telephone | 7148535086 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
3300 W ROSECRANS AVE STE 105 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992105142 | Kwang Jin Kim Dds | Preferred Provider Organization | 3300 W Rosecrans Ave Ste 105, Hawthorne, CA 90250-8218 | 2014-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508479627 | Alexis Lemmon | Dental Hygienist | 13450 Hawthrone Blvd, Hawthorne, CA 90250 | 2020-08-28 |
| 1336620459 | Lan Ngoc Ton | Dentist | 13450 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2018-08-27 |
| 1356829261 | Karneth Health Inc | Internal Medicine | 4512 W. Imperial Hwy, Ste B, Hawthorne, CA 90250 | 2018-08-02 |
| 1225524663 | Viridian Healthcare LLC | In Home Supportive Care | 13658 Hawthorne Blvd Ste 201, Hawthorne, CA 90250 | 2018-07-09 |
| 1235636044 | Sonia Medical Center Inc | Clinic/Center | 4512 W Imperial Hwy, Hawthorne, CA 90250 | 2018-04-09 |
| 1518484807 | Jessica Anne-marie Auzenne-harris | Nurse Practitioner | 12618 Hawthorne Blvd, Hawthorne, CA 90250 | 2017-08-28 |
| 1669993358 | Ololade Olamide Obafemi | Nurse Practitioner | 12954 Hawthorne Boulevard, Suite 104, Hawthorne Morningside Medical Clinic, Hawthorne, CA 90250 | 2017-07-03 |
| 1588194534 | Marissam Medical Inc. | Durable Medical Equipment & Medical Supplies | 13508 Inglewood Ave, Hawthorne, CA 90250 | 2017-06-13 |
| 1043751886 | Ogbonna Iwuamadi Olelewe | Nurse Practitioner | 11712 S. Hawthorne Blvd, Hawthorne, CA 90250 | 2017-03-13 |
| 1952758898 | La Shada Kai Martin | Contractor | 13010 Kornblum Ave, Unit D, Hawthorne, CA 90250 | 2016-05-20 |
| Find all providers in zip 90250 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710344148 | Eyvazi Dental Corp. | Clinic/Center | 13624 Hawthorne Blvd Ste 205, Hawthorne, CA 90250-5818 | 2016-01-15 |
| 1609027903 | Bruce Dow, D.d.s., P.C. | Clinic/Center | 155 South C Street, Hawthorne, NV 89415-2507 | 2008-10-06 |
| 1265579791 | Nguyen Dental Inc | Clinic/Center | 11855 Inglewood Ave, Hawthorne, CA 90250-2744 | 2007-02-01 |
| 1629128145 | Ruth Veloso Dds.,inc. | Clinic/Center | 4570 W El Segundo Blvd, Hawthorne, CA 90250-4318 | 2007-01-10 |
| 1275169021 | Christine Thuy Phan Dmd Dental Corporation | Clinic/Center | 14221 Inglewood Ave, Hawthorne, CA 90250-6729 | 2020-03-12 |
| 1174024442 | Mitesh R Patel Dds LLC | Clinic/Center | 354 Lincoln Ave, Hawthorne, NJ 07506-1200 | 2018-02-22 |
| 1962949859 | Joseph Debiase Dds Pllc | Clinic/Center | 245 Saw Mill River Rd, Suite 304a, Hawthorne, NY 10532-1526 | 2017-01-30 |
| 1811372089 | Pooja Aswani Dental Corporation | Clinic/Center | 12923 Inglewood Ave, #3, Hawthorne, CA 90250-5139 | 2015-07-29 |
| 1356743363 | La Dental Care | Clinic/Center | 12820 Inglewood Ave, Hawthorne, CA 90250-5118 | 2014-09-22 |
| 1356526750 | Beautiful Smile Family Dentistry | Clinic/Center | 13637 Hawthorne Blvd, Suite 101, Hawthorne, CA 90250-5812 | 2008-01-03 |
| Find all providers in HAWTHORNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.