| Kasey Kim, M.d. Inc. | |
|
10802 College Pl Cerritos CA 90703-1505 | |
| (562) 924-9581 | |
| Not Available |
| Full Name | Kasey Kim, M.d. Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 10802 College Pl, Cerritos, California |
| Authorized Official Name and Position | Kasey Kim (PRESIDENT) |
| Authorized Official Contact | 2132194401 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kasey Kim, M.d. Inc. 1417 Lomita Blvd #2 Harbor City CA 90710-5413 Ph: (562) 505-9294 | Kasey Kim, M.d. Inc. 10802 College Pl Cerritos CA 90703-1505 Ph: (562) 924-9581 |
| NPI Number | 1518000454 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264534833 |
|---|---|
| Medicare Enrollment ID | O20070228000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518000454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A83569 (California) | Primary |
| Provider Name | Kasey Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992715437 PECOS PAC ID: 6709837735 Enrollment ID: I20050207000632 |
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