Organization
IL YOUNG KIM MD FACC A MEDICAL CORP
Active
Other names
I.Y.KiM,m.d., F.A.C.C.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IL YOUNG KIM M.D. (PRESIDENT)
(323) 662-1175
Entity
Organization
Contact information
Practice address
3919 BEVERLY BLVD, #100, LOS ANGELES, CA 90004-3432
(323) 662-1175
(323) 662-7817
Mailing address
3919 BEVERLY BLVD, #100, LOS ANGELES, CA 90004-3432
(323) 662-1175
(323) 662-7817
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A33707
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A33707
MEDICAID
CA
Enumeration date
08/24/2007
Last updated
07/20/2010
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