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Organization
KENNETH K KIM, A MEDICAL CORPORATION
Active
Organization
KENNETH K KIM, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH K KIM M.D. (PRESIDENT)
(213) 234-5575
Entity
Organization
Contact information
Practice address
520 S VIRGIL AVE, SUITE 106, LOS ANGELES, CA 90020-1417
(213) 234-5575
(213) 427-9850
Mailing address
P.O. BOX 741519, SUITE 106, LOS ANGELES, CA 90004-1417
(213) 234-5575
(213) 427-9850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G71557
CA
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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