Organization
KEVIN IM, M.D., A MEDICAL CORP DEFINED.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNG IM M.D. (PRESIDENT)
(703) 344-4855
Entity
Organization
Contact information
Practice address
3785 WILSHIRE BLVD APT 1701, LOS ANGELES, CA 90010-2891
(703) 344-4855
Mailing address
3785 WILSHIRE BLVD APT 1701, LOS ANGELES, CA 90010-2891
(703) 344-4855
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A117206
CA
Other
Enumeration date
06/11/2014
Last updated
08/18/2014
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