Individual
DR. IN S 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) 997-3355
(818) 997-3710
Mailing address
15211 VANOWEN ST, STE 206, VAN NUYS, CA 91405-3620
(818) 997-3355
(818) 997-3710
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A38727
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A387270
—
CA
Enumeration date
09/26/2006
Last updated
09/18/2019
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