Organization
CALVIN KIM MD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CALVIN KIM (PRESIDENT)
(213) 487-4141
Entity
Organization
Contact information
Practice address
4220 W 3RD ST STE 201, LOS ANGELES, CA 90020-3450
(213) 487-4141
(213) 487-0124
Mailing address
4220 W 3RD ST STE 201, LOS ANGELES, CA 90020-3450
(213) 487-4141
(213) 487-0124
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A148130
LIC
CA
Enumeration date
10/19/2018
Last updated
03/24/2020
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