Individual
DR. MICHELLE JISUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 W CARSON ST, TORRANCE, CA 90502-2004
(310) 501-0660
Mailing address
1000 W CARSON ST # 27, TORRANCE, CA 90502-2004
(973) 634-5880
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A108256
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/03/2007
Last updated
05/25/2023
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