| Karen Kim Md Pc | |
|
1245 Wilshire Blvd Suite 804 Los Angeles CA 90017-4810 | |
| (213) 977-1030 | |
| (213) 977-0379 |
| Full Name | Karen Kim Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1245 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Karen Kim (OWNER) |
| Authorized Official Contact | 2139771030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen Kim Md Pc 1245 Wilshire Blvd Suite 804 Los Angeles CA 90017-4810 Ph: (213) 977-1030 | Karen Kim Md Pc 1245 Wilshire Blvd Suite 804 Los Angeles CA 90017-4810 Ph: (213) 977-1030 |
| NPI Number | 1245650506 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 2365660412 |
|---|---|
| Medicare Enrollment ID | O20140902001724 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245650506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A87257 (California) | Primary |
| Provider Name | Karen Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548231764 PECOS PAC ID: 7113981697 Enrollment ID: I20041115000812 |
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