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PETER KIM D.D.S. PROFESSIONAL CORP. NPI 1376964064


NPI Information

NPI: 1376964064
Provider Name: PETER KIM, D.D.S., PROFESSIONAL CORP.
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703
Phone: (562) 402-4411
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PETER KIM, D.D.S., PROFESSIONAL CORP. is a preferred provider organization in Cerritos, CA. The provider is 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. PETER KIM, D.D.S., PROFESSIONAL CORP. NPI is 1376964064. The provider is registered as an organization entity type.

The provider's business location address is:

11899 DEL AMO BLVD
CERRITOS, CA
ZIP 90703-605
Phone: (562) 402-4411
Fax: (562) 402-5052

The provider's authorized official is Peter Ung Kwon Kim .
The authorized official title is President and has the following contact phone number (562) 402-4411.

The enumeration date for this NPI number is 12/23/2013 and was last updated on 12/23/2013.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization49769CALIFORNIAYes

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: 5/5/2024

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