# UNIVERSAL SPECIALTIES MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REHABCARE MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639405293
- **Authorized official:** TAE SOON KIM M.D. (PRESIDENT)
- **Authorized official phone:** (213) 536-4242

## Contact information

- **Practice address:** 440 SHATTO PL, 2ND FLOOR \#208, LOS ANGELES, CA 90020-1765
- **Practice address phone:** (213) 536-4242
- **Practice address fax:** (866) 438-5974
- **Mailing address:** 440 SHATTO PL, 2ND FLOOR \#208, LOS ANGELES, CA 90020-1765
- **Mailing address phone:** (213) 536-4242
- **Mailing address fax:** (866) 438-5974

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | A32370 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2009
- **Last updated:** 11/02/2009