Peter Kim, D.D.S., Professional Corp.
NPI 1376964064ActiveOrganization· Preferred Provider Organization· Cerritos, CA
Preferred Provider Organization in Cerritos, California, registered in NPPES in December 2013. The authorized official on file is Peter Ung Kwon Kim, D.D.S., President.
Overview
| NPI | 1376964064 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 23, 2013 |
| Last updated in NPPES | Dec 23, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 49769 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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