Daewoo Kim is a General Practice in Gardena, California. Daewoo Kim practices all healthcare services and medical treatments related to General Practice. The NPI Number for Daewoo Kim is 1578544979. The last update date is 2007-07-08.
Daewoo Kim's current location address is 15435 S Western Ave, Gardena, California. You can contact this provider via phone number 3103297600 and fax number 3103297647. The mailing address for Daewoo Kim is 15435 S Western Ave, Gardena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daewoo Kim |
|---|---|
| Address | 15435 S Western Ave, Gardena, California |
| Phone Number | 3103297600 |
| Fax Number | 3103297647 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1578544979 |
|---|---|
| Provider Enumeration Date | 2005-11-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 15435 S Western Ave |
|---|---|
| City | Gardena |
| State | California (CA) |
| Post Code | 902494331 |
| Phone Number | 3103297600 |
| Fax Number | 3103297647 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25562 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identification code assigned to Daewoo Kim by the Centers for Medicare & Medicaid Services?
The Daewoo Kim has been issued the NPI (National Provider Identifier) 1578544979, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Daewoo Kim is geographically located?
The Daewoo Kim is physically situated at the following location: 15435 S Western Ave, Gardena, CA, 902494331.
What is Daewoo Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daewoo Kim's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Daewoo Kim receive its 1578544979 assignment?
The Daewoo Kim was assigned its 1578544979 on 2005-11-11, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Daewoo Kim last refreshed?
The information related to the Daewoo Kim, including its address, specialty, and other relevant details, was last updated on 2007-07-08.