Heedong Kim, | |
400 S Western Ave Ste 204, Los Angeles, CA 90020-4115 | |
(213) 770-2070 | |
Not Available |
Full Name | Heedong Kim |
---|---|
Gender | Male |
Speciality | Registered Nurse |
Location | 400 S Western Ave Ste 204, Los Angeles, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104515436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 95253512 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Heedong Kim, 905 Fedora St Apt 2, Los Angeles, CA 90006-1472 Ph: (347) 556-5720 | Heedong Kim, 400 S Western Ave Ste 204, Los Angeles, CA 90020-4115 Ph: (213) 770-2070 |
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