Mr Kwang Jin Kim, DDS in Hawthorne, CA - Medicare Dentist Provider

Mr Kwang Jin Kim, DDS is a medicare enrolled "Dentist - Dental Public Health" provider in Hawthorne, California. His current practice location is 3300 W Rosecrans Ave, Suite 105, Hawthorne, California. You can reach out to his office (for appointments etc.) via phone at (310) 679-3300.

Mr Kwang Jin Kim is licensed to practice in California (license number 31300) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1578611356.

Contact Information

	Mr Kwang Jin Kim, DDS
	3300 W Rosecrans Ave, Suite 105, Hawthorne, CA 90250-8218
	(310) 679-3300
	(310) 679-3932

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kwang Jin Kim
Gender	Male
Speciality	Dentist - Dental Public Health
Location	3300 W Rosecrans Ave, Hawthorne, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578611356
Provider Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2365758232
Enrollment ID: I20150909000558

Medical Identifiers

Medical identifiers for Mr Kwang Jin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578611356	NPI	-	NPPES
B-31300-02	Other	CA	MEDICAL PROVIDER NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0001X	Dentist - Dental Public Health	31300 (California)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Kwang Jin Kim is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Kwang Jin Kim, DDS 2220 Smokewood Ave, Fullerton, CA 92831-1107 Ph: () -	Mr Kwang Jin Kim, DDS 3300 W Rosecrans Ave, Suite 105, Hawthorne, CA 90250-8218 Ph: (310) 679-3300

Reviews and Comments

Dentist in Hawthorne, CA

Dr. Gracie Castillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4277 W El Segundo Blvd, Hawthorne, CA 90250 Phone: 310-970-0200
Dr. S George Salama, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13109 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-973-2600 Fax: 310-973-2701
Libuse Kulle, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13450 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-679-0106 Fax: 310-679-6698
Dr. Joseph Schames, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12243 Hawthorne Blvd, Hawthorne, CA 90250 Phone: 310-644-6456 Fax: 310-644-5963
Lucia Maria Chia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15024 Prairie Ave, Hawthorne, CA 90250 Phone: 424-468-0796
Linda Anyanwu, Dentist Medicare: Medicare Enrolled Practice Location: 3754 W 118th St, Hawthorne, CA 90250 Phone: 909-731-0284
Dr. Nader Ramzi, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4477 W 118th St, 500, Hawthorne, CA 90250 Phone: 310-970-9255 Fax: 310-970-1317

Mr Kwang Jin Kim, DDS - Medicare Dentist in Hawthorne, CA