| Gwang Sig Kim Dds Inc | |
|
2130 Redondo Beach Blvd Ste F Torrance CA 90504-1679 | |
| (310) 768-8281 | |
| Not Available |
| Full Name | Gwang Sig Kim Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 2130 Redondo Beach Blvd Ste F, Torrance, California |
| Authorized Official Name and Position | Gwang Sig Kim (DOCTOR) |
| Authorized Official Contact | 3107688281 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwang Sig Kim Dds Inc 2130 Redondo Beach Blvd Ste F Torrance CA 90504-1679 Ph: (310) 768-8281 | Gwang Sig Kim Dds Inc 2130 Redondo Beach Blvd Ste F Torrance CA 90504-1679 Ph: (310) 768-8281 |
| NPI Number | 1801543814 |
|---|---|
| Provider Enumeration Date | 03/09/2022 |
| Last Update Date | 03/09/2022 |
| Medicare PECOS PAC ID | 0547655193 |
|---|---|
| Medicare Enrollment ID | O20220316004116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801543814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Gwangsig Kim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1558549022 PECOS PAC ID: 1456746007 Enrollment ID: I20220316004121 |
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