Individual
CARON R. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MEDICAL PLZ, SUITE 430, LOS ANGELES, CA 90095-0001
(310) 794-7274
Mailing address
5756 W. CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5655
(310) 794-7274
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A111329
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1113290
—
CA
Enumeration date
06/26/2008
Last updated
09/21/2012
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