# CK PLASTIC SURGERY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215392055
- **Authorized official:** DR. KYOUNG KIM M.D. (CEO)
- **Authorized official phone:** (213) 382-4900

## Contact information

- **Practice address:** 2970 W OLYMPIC BLVD, SUITE 204 & 205, LOS ANGELES, CA 90006-2518
- **Practice address phone:** (213) 382-4900
- **Practice address fax:** (213) 382-4909
- **Mailing address:** 2970 W OLYMPIC BLVD, SUITE 204 & 205, LOS ANGELES, CA 90006-2518
- **Mailing address phone:** (213) 382-4900
- **Mailing address fax:** (213) 382-4909

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/21/2015
- **Last updated:** 12/22/2015