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Brian Kim

Physician Assistant, Surgical in Downey, CA. Individual provider (NPI-1).

NPI number1962850313
StatusActive
Last updated in NPPESDec 2, 2021

Details

NPI
1962850313
Entity type
Individual (NPI-1)
Name
Brian Kim
Sex
Male
Sole proprietor
Yes
Enumeration date
May 26, 2016
Certification date
Dec 2, 2021
Last updated
Dec 2, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, Surgical53703CAYes

Practice location

9353 Imperial Hwy
Downey, CA 90242-2812

Phone 562-657-4155

Mailing address

9353 Imperial Hwy
Downey, CA 90242-2812

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