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Individual

DR. LESLIE H. KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
27455 TIERRA ALTA WAY STE A, TEMECULA, CA 92590-3498
(951) 699-5282
(951) 694-8652
Mailing address
16702 VALLEY VIEW AVE, LA MIRADA, CA 90638-5824
(714) 367-5391
(714) 635-5428

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G41605
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CI456X
MEDICARE NUMBER
CA
Enumeration date
02/15/2006
Last updated
07/21/2022
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