| Chong U Kim Md Inc | |
|
23430 Hawthorne Blvd Suite 325 Torrance CA 90505-4720 | |
| (310) 705-8323 | |
| (310) 683-6321 |
| Full Name | Chong U Kim Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 23430 Hawthorne Blvd, Torrance, California |
| Authorized Official Name and Position | Chong U. Kim (CEO) |
| Authorized Official Contact | 3103721185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chong U Kim Md Inc 23430 Hawthorne Blvd Suite 325 Torrance CA 90505-4720 Ph: (310) 705-8323 | Chong U Kim Md Inc 23430 Hawthorne Blvd Suite 325 Torrance CA 90505-4720 Ph: (310) 705-8323 |
| NPI Number | 1447379508 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 05/04/2015 |
| Medicare PECOS PAC ID | 3779681861 |
|---|---|
| Medicare Enrollment ID | O20070613000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447379508 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A54806 (California) | Primary |
| Provider Name | Chong U Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528034485 PECOS PAC ID: 9436166238 Enrollment ID: I20060320000730 |
| Provider Name | Maneesh S Penkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639480247 PECOS PAC ID: 3173788601 Enrollment ID: I20200728003223 |
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