Individual
PETER J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
818 S LUCERNE BLVD APT 301, LOS ANGELES, CA 90005-3713
(323) 472-0317
Mailing address
818 S LUCERNE BLVD APT 301, LOS ANGELES, CA 90005-3713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C52913
CA
207RR0500X
Rheumatology Physician
213625
MA
207RR0500X
Rheumatology Physician
Primary
C52913
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C529130
—
CA
Enumeration date
08/16/2006
Last updated
07/22/2021
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