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DR. SHIWOO KIM D.M.D NPI 1255873345


NPI Information

NPI: 1255873345
Provider Name: DR. SHIWOO KIM, D.M.D
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Address:
1502 W ARTESIA SQ APT B
GARDENA, CA
ZIP 90248
Phone: (213) 590-5686
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DR. Shiwoo Kim, D.M.D is an oral and maxillofacial surgery dentist in Gardena, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. DR. Shiwoo Kim, D.M.D NPI is 1255873345. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1502 W ARTESIA SQ APT B
GARDENA, CA
ZIP 90248-761
Phone: (213) 590-5686

The enumeration date for this NPI number is 11/7/2016 and was last updated on 1/26/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryDE61424421WASHINGTONYes
2122300000XDentistDDS100351CALIFORNIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.