Individual
DR. BRYAN BUMSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
3030 W 8TH ST, #305, LOS ANGELES, CA 90005-1812
(213) 389-0937
(213) 389-1937
Mailing address
3030 W. 8TH ST., #305, LOS ANGELES, CA 90005
(213) 389-0937
(213) 389-1937
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32333
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
260891
UNITED CONCORDIA
CA
01
—
B32333-01
DELTA HEALTHY FAMILY
CA
Enumeration date
01/03/2007
Last updated
07/08/2007
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