Individual
MR. HYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1500 DUARTE RD, DUARTE, CA 91010-3012
(800) 826-4673
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95185274
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95185274
CA
Other
Enumeration date
03/24/2025
Last updated
06/16/2025
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