Michael Ik Chan Kim
Student in an Organized Health Care Education/Training Program in Los Angeles, CA. Individual provider (NPI-1).
NPI number1386589513
StatusActive
Last updated in NPPESApr 22, 2026
Details
- NPI
- 1386589513
- Entity type
- Individual (NPI-1)
- Name
- Michael Ik Chan Kim
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 22, 2026
- Certification date
- Apr 22, 2026
- Last updated
- Apr 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
757 Westwood PlzLos Angeles, CA 90095-8358
Phone 310-825-9111
Mailing address
757 Westwood PlzLos Angeles, CA 90095-8358
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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