Individual
KWANG SOOK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9636 GARDEN GROVE BLVD # 16, GARDEN GROVE, CA 92844-1530
(714) 290-1657
(562) 404-4323
Mailing address
9636 GARDEN GROVE BLVD # 16, GARDEN GROVE, CA 92844-1530
(714) 290-1657
(562) 404-4323
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A37552
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A375520
—
CA
Enumeration date
09/27/2006
Last updated
09/30/2011
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