Individual
DR. KUNGSOO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18102 PIONEER BLVD, #201, ARTESIA, CA 90701-3953
(562) 865-8537
(562) 860-0952
Mailing address
18102 PIONEER BLVD, #201, ARTESIA, CA 90701-3953
(562) 865-8537
(562) 860-0952
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A47842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A478420
—
CA
Enumeration date
04/10/2006
Last updated
06/02/2011
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