Individual
PHYLLIS S KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14445 OLIVE VIEW DR, DEPT OF MEDICINE, 2B182, SYLMAR, CA 91342-1437
(818) 364-3205
Mailing address
14445 OLIVE VIEW DR, DEPT OF MEDICINE, 2B182, SYLMAR, CA 91342-1437
(818) 364-3205
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A119289
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/03/2010
Last updated
12/27/2019
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