Organization Name: | SANG Y. KIM, M.D., INC. |
NPI Number: | 1003832858 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANG Y KIM (PRESIDENT) |
Mailing Address: | 3020 Wilshire Blvd Ste 160 Los Angeles |
State: | CA US |
Postal Code: | 900101120 |
Phone Number: | 2137380045 |
Fax Number: | 2137380032 |
NPI Enumeration Date: | 07/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A41877 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |