Dr. Kenneth Taeyoung Kim, MD
Emergency Medicine in Los Angeles, CA. Individual provider (NPI-1).
NPI number1003441262
StatusActive
Last updated in NPPESDec 30, 2024
Details
- NPI
- 1003441262
- Entity type
- Individual (NPI-1)
- Name
- Dr. Kenneth Taeyoung Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2020
- Certification date
- Sep 11, 2024
- Last updated
- Dec 30, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | A183373 | CA | Yes |
Practice location
1100 Glendon Ave Ste 1200Los Angeles, CA 90024-3516
Phone 310-794-0785
Mailing address
924 Westwood Blvd Ste 300Los Angeles, CA 90024-2924
Phone 310-794-0785
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