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Individual

ERIC TAEJUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4900 W SUNSET BLVD FL 4, LOS ANGELES, CA 90027-5814
(323) 783-4600
Mailing address
4733 W SUNSET BLVD FL 3, LOS ANGELES, CA 90027-6021
(833) 574-2273

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
05052
KY
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
20A19826
CA
390200000X
Student in an Organized Health Care Education/Training Program
05052
KY
390200000X
Student in an Organized Health Care Education/Training Program
19826
CA

Other

Enumeration date
04/13/2019
Last updated
09/21/2023
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