Individual
NA EUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 UCLA MEDICAL PLZ STE 310, LOS ANGELES, CA 90024-6999
(310) 825-2144
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A178238
CA
2086X0206X
Surgical Oncology Physician
A178238
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2015
Last updated
10/27/2023
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