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Organization
SAM KIM PHYSICIAN SERVICES INC
Active
Organization
SAM KIM PHYSICIAN SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL SUNGWON KIM M.D. (CEO)
(818) 939-4511
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 789-0941
(818) 789-6726
Mailing address
5400 BALBOA BLVD STE 326, ENCINO, CA 91316-5214
(818) 939-4511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
01/02/2020
Last updated
02/10/2026
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