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Organization
TOLUCA LAKE MEDICAL CLINIC INC
Active
Organization
TOLUCA LAKE MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP KIM MD (PRESIDENT)
(747) 205-2095
Entity
Organization
Contact information
Practice address
4110 CAHUENGA BLVD, TOLUCA LAKE, CA 91602-2831
(747) 205-2095
(747) 205-2559
Mailing address
4110 CAHUENGA BLVD, TOLUCA LAKE, CA 91602-2831
(747) 205-2095
(747) 205-2559
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/15/2025
Last updated
07/15/2025
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