Organization
MIDWILSHIRE SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILL J KIM M.D. (MEDICAL DIRECTOR)
(323) 525-1733
Entity
Organization
Contact information
Practice address
5757 WILSHIRE BLVD, 374, LOS ANGELES, CA 90036-5810
(323) 525-1733
(323) 525-1850
Mailing address
5757 WILSHIRE BLVD, 374, LOS ANGELES, CA 90036-5810
(323) 525-1733
(323) 525-1850
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
930000925
CA
Other
Enumeration date
02/05/2008
Last updated
11/12/2010
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