MR. KWANG JIN KIM (NPI# 1578611356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578611356 |
| Entity Type | Individual |
| Full Name | MR. KWANG JIN KIM |
| Credential | D.D.S |
| Practice Address |
3300 W Rosecrans Ave Suite 105 Hawthorne CA 90250-8218 |
| Mailing Address |
2220 Smokewood Ave Fullerton CA 92831-1107 |
| Practice Telephone | 3106793300 |
| Practice Fax Number | 3106793932 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
31300 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL PROVIDER NUMBER | B-31300-02 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871122812 | Kwang Kim | Student in an Organized Health Care Education/Training Program | 16201 Northern Blvd # 790, Flushing, NY 11358-1634 | 2020-04-02 |
| 1063994721 | Kwang Il Kim | Counselor | 322 Nw 5th Ave Ste 301b, Portland, OR 97209-3828 | 2018-08-29 |
| 1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
| 1881901619 | Kwang Jib Kim | Dentist | 594 N. Indian Hill Blvd., Pomona, CA 91767-5302 | 2010-08-31 |
| 1417183047 | Kwang Cho Kim | Psychiatry & Neurology | 3745 Charter Pl, Ann Arbor, MI 48105-2826 | 2009-06-10 |
| 1205074838 | Kwang Han Kim | Dentist | 39150 Sundale Dr, Apt #102, Fremont, CA 94538-2068 | 2009-02-04 |
| 1861656498 | Kwang Kim | Pharmacist | 7350 N Kilbourn Ave, Lincolnwood, IL 60712-1809 | 2008-07-13 |
| 1003035114 | Kwang Seob Kim | Dentist | 18250 Colima Rd, 201, Rowland Heights, CA 91748-2602 | 2007-04-25 |
| 1356437842 | Kwang Hyun Kim | Dentist | 670 Las Gallinas Ave, San Rafael, CA 94903-3687 | 2006-10-04 |
| 1285725051 | Kwang Sook Kim | General Practice | 9636 Garden Grove Blvd # 16, Garden Grove, CA 92844-1530 | 2006-09-27 |
| Street Address |
3300 W ROSECRANS AVE SUITE 105 |
| City | HAWTHORNE |
| State | CA |
| Zip Code | 90250-8218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649405945 | Defait Home Care Services | Home Health | 3300 W Rosecrans Ave, Suite 204, Hawthorne, CA 90250-8218 | 2009-05-16 |
| 1356514699 | Rehobot Medical Supplies & Equipments, Inc. | Durable Medical Equipment & Medical Supplies | 3300 W Rosecrans Ave, Suite 101, Hawthorne, CA 90250-8218 | 2008-04-08 |
| 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 | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649638545 | Consumerhealth, Inc. | Dentist | 13220 Hawthorne Blvd, Hawthorne, CA 90250-5804 | 2016-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740216 | Thomas Robert Matthew Simpson | Dentist | 1387 Kirsten Ct, Red Bluff, CA 96080-4905 | 2020-11-05 |
| 1629683339 | Jisoo Choe | Dentist | 232 E 2nd St Apt 451, Los Angeles, CA 90012-4098 | 2020-09-10 |
| 1831703479 | Seville Dental Group, Inc. | Dentist | 7705 Seville Ave Ste A, Huntington Park, CA 90255-6570 | 2020-09-01 |
| 1114537842 | Sepideh Rahmani | Dentist | 945 Orchard Creek Ln Ste 200, Lincoln, CA 95648-8473 | 2020-08-06 |
| 1861018160 | Dentists On Wheels | Dentist | 2210 Gladstone Dr, Pittsburg, CA 94565-5101 | 2020-06-22 |
| 1558997148 | S. Safarian Dmd Inc | Dentist | 955 Boardwalk Ste 304, San Marcos, CA 92078-2659 | 2020-03-16 |
| 1902455884 | Aileen Arce Dds Incorporated | Dentist | 345 F St Ste 140, Chula Vista, CA 91910-2632 | 2019-09-04 |
| 1972156420 | Jessica R Yang | Dentist | 6950 Santa Teresa Blvd Ste D, San Jose, CA 95119-1300 | 2019-07-23 |
| 1447811070 | Roop Mayall | Dentist | 1215 Plumas St Ste 52, Yuba City, CA 95991-3492 | 2019-06-25 |
| 1699242933 | Albert Young | Dentist | Naval Medical Ctr Bob Wilson Dr, San Diego, CA 92134-0001 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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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.