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Organization

STEPHEN K. KIM M.D. A MEDICAL CORPORATION

Active
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Organization

STEPHEN K. KIM M.D. A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STEPHEN KYO-SUNG KIM M.D. (PRESIDENT)
(909) 777-7413
Entity
Organization

Contact information

Practice address
900 S ATLANTIC BLVD, MONTEREY PARK, CA 91754-4716
(626) 570-9000
(626) 570-5775
Mailing address
PO BOX 60790, PASADENA, CA 91116-6790
(626) 795-6596
(626) 795-8247

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G764330
—
CA
01
—
00G764333
BLUE SHIELD
CA
Enumeration date
08/05/2006
Last updated
12/08/2010
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