Kyoung Kim Md Inc | |
4160 Wilshire Blvd Ste 301 Los Angeles CA 90010-3567 | |
(213) 254-7103 | |
Not Available |
Full Name | Kyoung Kim Md Inc |
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Speciality | Internal Medicine |
Location | 4160 Wilshire Blvd Ste 301, Los Angeles, California |
Authorized Official Name and Position | Kyoung Ae Kim (PRESIDENT / MD) |
Authorized Official Contact | 2135985606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kyoung Kim Md Inc 4160 Wilshire Blvd Ste 301 Los Angeles CA 90010-3567 Ph: (213) 254-7103 | Kyoung Kim Md Inc 4160 Wilshire Blvd Ste 301 Los Angeles CA 90010-3567 Ph: (213) 254-7103 |
NPI Number | 1811632458 |
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Provider Enumeration Date | 04/28/2022 |
Last Update Date | 04/28/2022 |
Medicare PECOS PAC ID | 5597143586 |
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Medicare Enrollment ID | O20220603000130 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811632458 | NPI | - | NPPES |
00A1102630 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Kyoung A Kim |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477882215 PECOS PAC ID: 7719172972 Enrollment ID: I20101112000867 |
Joseph I Kang Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3755 Beverly Blvd, Ste 301, Los Angeles, CA 90004 Phone: 323-664-7777 | |
John L Sherman Md Amc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8635 W 3rd St Ste 485w, Los Angeles, CA 90048 Phone: 310-855-8081 Fax: 310-855-0438 | |
Altamed Health Services Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5425 Pomona Blvd, Los Angeles, CA 90022 Phone: 323-832-7527 Fax: 323-832-7599 | |