Kenneth K Kim, A Medical Corporation | |
520 S Virgil Ave Suite 106 Los Angeles CA 90020-1417 | |
(213) 234-5575 | |
(213) 427-9850 |
Full Name | Kenneth K Kim, A Medical Corporation |
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Speciality | Family Medicine |
Location | 520 S Virgil Ave, Los Angeles, California |
Authorized Official Name and Position | Kenneth K Kim (PRESIDENT) |
Authorized Official Contact | 2132345575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth K Kim, A Medical Corporation P.o. Box 741519 Suite 106 Los Angeles CA 90004-1417 Ph: (213) 234-5575 | Kenneth K Kim, A Medical Corporation 520 S Virgil Ave Suite 106 Los Angeles CA 90020-1417 Ph: (213) 234-5575 |
NPI Number | 1295004034 |
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Provider Enumeration Date | 12/23/2011 |
Last Update Date | 12/23/2011 |
Identifier | Type | State | Issuer |
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1295004034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G71557 (California) | Primary |
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