| Doeyoung Kim, M.d., Inc. | |
|
2727 W Olympic Blvd Ste 302 Los Angeles CA 90006-2699 | |
| (213) 674-7350 | |
| (213) 674-7375 |
| Full Name | Doeyoung Kim, M.d., Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2727 W Olympic Blvd Ste 302, Los Angeles, California |
| Authorized Official Name and Position | Doeyoung Kim (PRESIDENT) |
| Authorized Official Contact | 2136747350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Doeyoung Kim, M.d., Inc. 2727 W Olympic Blvd Ste 302 Los Angeles CA 90006-2699 Ph: (213) 674-7350 | Doeyoung Kim, M.d., Inc. 2727 W Olympic Blvd Ste 302 Los Angeles CA 90006-2699 Ph: (213) 674-7350 |
| NPI Number | 1730722992 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 10/21/2019 |
| Medicare PECOS PAC ID | 5496188278 |
|---|---|
| Medicare Enrollment ID | O20191209002491 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730722992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Doeyoung Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093913444 PECOS PAC ID: 7618058777 Enrollment ID: I20180315000942 |
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