C Christopher Kim M D A Prof Corp
Anesthesiology in Santa Clarita, CA. Organization (NPI-2).
NPI number1477516276
StatusActive
Last updated in NPPESFeb 24, 2020
Details
- NPI
- 1477516276
- Entity type
- Organization (NPI-2)
- Legal business name
- C Christopher Kim M D A Prof Corp
- Organization subpart
- No
- Enumeration date
- Apr 11, 2006
- Certification date
- Feb 24, 2020
- Last updated
- Feb 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | A39954 | CA | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | A39954 | CA |
Practice location
24355 Lyons AveSte.# 120
Santa Clarita, CA 91321-2300
Phone 661-255-6644 · Fax 818-715-1722
Mailing address
Po Box 7001Tarzana, CA 91357-7001
Phone 818-888-7815 · Fax 818-715-1722
Authorized official
Christopher Kim
Sole Owner
8188887815
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