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Organization

ADVANCED PREMIER PHYSICIANS ACO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH KWANSEUNG KIM M.D. (CEO)
(213) 234-5575
Entity
Organization

Contact information

Practice address
17215 STUDEBAKER RD STE 331, CERRITOS, CA 90703-2557
(714) 705-4598
Mailing address
17215 STUDEBAKER RD STE 331, CERRITOS, CA 90703-2557
(714) 705-4598

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary

Other

Enumeration date
06/23/2014
Last updated
06/23/2014
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  • EDI platform