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Organization
SANG IL KIM M.D. A PROFESSIONAL CORPORATION
Active
Organization
SANG IL KIM M.D. A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANG IL KIM M.D. (OWNER)
(818) 505-0053
Entity
Organization
Contact information
Practice address
12610 VENTURA BLVD, STUDIO CITY, CA 91604-2414
(818) 505-0053
(818) 505-0343
Mailing address
12610 VENTURA BLVD, STUDIO CITY, CA 91604-2414
(818) 505-0053
(818) 505-0343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C42314
CA
Other
Enumeration date
10/25/2012
Last updated
03/07/2023
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