OrganizationActive
Kwang Jin Kim DDS
NPI 1992105142 · Preferred Provider Organization · Hawthorne, CA
Provider details
- NPI number
- 1992105142
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kwang Kim, President(310) 679-3300
- License
- 31300 (CA)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3300 W Rosecrans Ave Ste 105
Hawthorne, CA 90250-8218
Phone: (310) 679-3300
Fax: (310) 679-3932
Street-level locationGet directions
Mailing address
3300 W Rosecrans Ave Ste 105
Hawthorne, CA 90250-8218
Registry dates
- Enumerated
- 2014-08-25
- Last updated
- 2014-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.