Peter Kim, MD
Family Medicine in Los Angeles, CA. Individual provider (NPI-1).
NPI number1750902003
StatusActive
Last updated in NPPESJun 20, 2023
Details
- NPI
- 1750902003
- Entity type
- Individual (NPI-1)
- Name
- Peter Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Aug 11, 2022
- Last updated
- Jun 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | A185019 | CA | Yes |
Practice location
808 W 58th StLos Angeles, CA 90037-3632
Phone 323-541-1600 · Fax 323-541-1661
Mailing address
3231 Euclid Ave Fl 5Berwyn, IL 60402-4603
Phone 708-783-2000 · Fax 708-783-3656
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