| Calvin Kim Md Internal Medicine | |
|
4220 W 3rd St Ste 201 Los Angeles CA 90020-3450 | |
| (213) 487-4141 | |
| (213) 487-0124 |
| Full Name | Calvin Kim Md Internal Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 4220 W 3rd St Ste 201, Los Angeles, California |
| Authorized Official Name and Position | Calvin A Kim (PRESIDENT/CEO) |
| Authorized Official Contact | 2134874141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calvin Kim Md Internal Medicine 4220 W 3rd St Ste 201 Los Angeles CA 90020-3450 Ph: (213) 487-4141 | Calvin Kim Md Internal Medicine 4220 W 3rd St Ste 201 Los Angeles CA 90020-3450 Ph: (213) 487-4141 |
| NPI Number | 1154978831 |
|---|---|
| Provider Enumeration Date | 08/19/2019 |
| Last Update Date | 03/24/2020 |
| Medicare PECOS PAC ID | 8820422850 |
|---|---|
| Medicare Enrollment ID | O20191230001513 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154978831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Calvin A Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538566047 PECOS PAC ID: 5395036677 Enrollment ID: I20170830002150 |
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