Individual
DR. KATHY KIM LANGEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12301 WILSHIRE BLVD 201, LOS ANGELES, CA 90025-1000
(301) 207-8900
(310) 207-8912
Mailing address
12301 WILSHIRE BLVD 201, LOS ANGELES, CA 90025-1000
(310) 207-8900
(310) 207-8912
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
36174
IA
207N00000X
Dermatology Physician
41753
AZ
207N00000X
Dermatology Physician
Primary
A85857
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A858570
—
CA
Enumeration date
08/31/2006
Last updated
12/14/2015
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