NPIMap

Organization Active NPI

James Myung Ju Kim DDS Inc

  • General Practice Dentistry
  • Hawthorne, CA
National Provider Identifier
1629251954
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JAMES MYUNG JU KIM DDS INC
Practice address
3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677
Phone
(310) 679-0697
Fax
(310) 679-9813
NPI assigned
Dec 10, 2007
Last updated
Dec 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. James Myung Ju Kim, DDSNPI 1982821666
Title
President
Phone
(310) 679-0697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677

Mailing address

3800 W El Segundo Blvd
Suite 203
Hawthorne, CA 90250-4677
Phone (310) 679-0697

National Provider Directory

National Provider Directory
Tax ID family
James Myung Ju Kim DDS Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3800 W El Segundo Blvd
Ste 203
Hawthorne, CA 90250
Phone (310) 679-0687

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1629251954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 W EL SEGUNDO BLVD",
            "address_2": "SUITE 203",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504677",
            "telephone_number": "310-679-0697",
            "fax_number": "310-679-9813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W EL SEGUNDO BLVD",
            "address_2": "SUITE 203",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902504677",
            "telephone_number": "310-679-0697",
            "fax_number": "310-679-9813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES MYUNG JU KIM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MYUNG JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-679-0697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.