Individual
JENNIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2051 MARENGO ST RM C5L100, LOS ANGELES, CA 90033-1352
(323) 409-8604
Mailing address
2051 MARENGO ST RM C5L100, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
A173096
CA
2086S0127X
Trauma Surgery Physician
Primary
A173096
CA
Other
Enumeration date
06/01/2015
Last updated
11/21/2022
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