Jin Hee Kwak DDS Inc

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JIN HEE KWAK DDS INC

Doing business as

ClearWave Orthodontics

Practice address

3640 Lomita Blvd Ste 202
Torrance, CA 90505-3982

Phone

(424) 257-5118

NPI assigned

Apr 22, 2022

Last updated

Apr 22, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jin Hee Kwak, DDS, MSNPI 1902346612

Title

Ceo

Phone

(310) 601-0975

Specialties & licenses 1

Addresses

Other names 1

• ClearWave Orthodontics Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jin Hee Kwak, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Torrance, CA
  • NPI 1902346612
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650585600000",
    "number": "1164166419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053982",
            "telephone_number": "424-257-5118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 LOMITA BLVD STE 202",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905053982",
            "telephone_number": "424-257-5118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN HEE KWAK DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-22",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A",
        "authorized_official_last_name": "KWAK",
        "authorized_official_first_name": "JIN HEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-601-0975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearWave Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lener Orfilio Jimenez, LCSW
• Lilian Herlinda Jimenez, RDA67888
• Oscar Jimenez
• Roxanna Jimenez
• Jin H. Yang DDS,Inc
• Joy Jin, BACB
• Richard Bryan Jin, MD
• Richard Zoo Jin, PT
• Jina Son Optometry, Inc (I Care Optometry)
• Natashka S. Jinadasa, SLP-CF

• Orthodontics and Dentofacial Orthopedics Dentistry in Torrance, CA
• Providers in Torrance, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.