# PACIFIC SENIOR MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831049618
- **Authorized official:** KENNETH K KIM MD (PRESIDENT)
- **Authorized official phone:** (213) 234-5575

## Contact information

- **Practice address:** 520 S VIRGIL AVE STE 106, LOS ANGELES, CA 90020-1417
- **Practice address phone:** (213) 234-5575
- **Mailing address:** 520 S VIRGIL AVE STE 106, LOS ANGELES, CA 90020-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 01/30/2026