Individual
TIMOTHY MANSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8403 FALLBROOK AVE, WEST HILLS, CA 91304-3226
(818) 737-6174
(818) 737-6216
Mailing address
4937 CROWN AVE, LA CANADA, CA 91011-3621
(818) 737-6174
(818) 737-6216
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
A51246
CA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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