Organization
CK PLASTIC SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KYOUNG KIM M.D. (CEO)
(213) 382-4900
Entity
Organization
Contact information
Practice address
2970 W OLYMPIC BLVD, SUITE 204 & 205, LOS ANGELES, CA 90006-2518
(213) 382-4900
(213) 382-4909
Mailing address
2970 W OLYMPIC BLVD, SUITE 204 & 205, LOS ANGELES, CA 90006-2518
(213) 382-4900
(213) 382-4909
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/21/2015
Last updated
12/22/2015
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