| William E Kim MD Inc | |
|
3701 Skypark Dr Suite 150 Torrance CA 90505-4753 | |
| (310) 373-1400 | |
| Not Available |
| Full Name | William E Kim MD Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3701 Skypark Dr, Torrance, California |
| Authorized Official Name and Position | William E Kim (OWNER) |
| Authorized Official Contact | 3103731400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William E Kim MD Inc 3701 Skypark Dr Suite 150 Torrance CA 90505-4753 Ph: (310) 373-1400 | William E Kim MD Inc 3701 Skypark Dr Suite 150 Torrance CA 90505-4753 Ph: (310) 373-1400 |
| NPI Number | 1295170413 |
|---|---|
| Provider Enumeration Date | 05/01/2013 |
| Last Update Date | 05/01/2013 |
| Medicare PECOS PAC ID | 6406096304 |
|---|---|
| Medicare Enrollment ID | O20130716000804 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295170413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A00041886 (California) | Primary |
| Provider Name | William E Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457302499 PECOS PAC ID: 2163455684 Enrollment ID: I20050915000354 |
| Provider Name | Maneesh S Penkar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639480247 PECOS PAC ID: 3173788601 Enrollment ID: I20200728003223 |
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