Individual
DR. KWAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15211 VANOWEN ST STE 206, VAN NUYS, CA 91405-3620
(818) 616-3070
(818) 997-3710
Mailing address
15211 VANOWEN ST, #206, VAN NUYS, CA 91405
(818) 616-3070
(818) 997-3710
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A40634
CA
208200000X
Plastic Surgery Physician
A40635
CA
Other
Enumeration date
09/05/2006
Last updated
11/08/2023
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