| Bmb Medical Group, Inc | |
|
4160 Wilshire Blvd Suite 303 Los Angeles CA 90010-3500 | |
| (323) 965-9650 | |
| (323) 965-9690 |
| Full Name | Bmb Medical Group, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4160 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Walter J Kim (PRESIDENT) |
| Authorized Official Contact | 3239659650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bmb Medical Group, Inc 4160 Wilshire Blvd Suite 303 Los Angeles CA 90010-3500 Ph: (323) 965-9650 | Bmb Medical Group, Inc 4160 Wilshire Blvd Suite 303 Los Angeles CA 90010-3500 Ph: (323) 965-9650 |
| NPI Number | 1700936374 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 03/10/2014 |
| Medicare PECOS PAC ID | 4082602743 |
|---|---|
| Medicare Enrollment ID | O20040503001166 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700936374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G64109 (California) | Primary |
| Provider Name | Walter J Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497806566 PECOS PAC ID: 6608864269 Enrollment ID: I20040504001637 |
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