Individual
LAWRENCE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A129016
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A129016
CA
207RP1001X
Pulmonary Disease Physician
Primary
A129016
CA
Other
Enumeration date
04/13/2012
Last updated
07/07/2023
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