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Organization
TAELL KIM, MD INC
Active
Organization
TAELL KIM, MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAELL KIM MD (PRESIDENT)
(818) 550-0900
Entity
Organization
Contact information
Practice address
1500 E CHEVY CHASE DR STE 450, GLENDALE, CA 91206-4153
(818) 550-0900
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(505) 293-1524
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G72179
CA
Other
Enumeration date
05/23/2014
Last updated
05/23/2014
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