Individual
MR. YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
(626) 775-3514
(626) 218-5310
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
A68660
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
A68660
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A686600
—
CA
Enumeration date
05/27/2006
Last updated
03/19/2018
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