Organization
TERRENCE KIM MD A MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRENCE T KIM M.D. (PRESIDENT)
(310) 423-9716
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE #800, LOS ANGELES, CA 90048-4165
(310) 423-9716
(310) 423-9767
Mailing address
122 SHELDON ST, EL SEGUNDO, CA 90245-3915
(310) 322-4278
(310) 322-8251
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A103614
CA
Other
Enumeration date
05/27/2014
Last updated
07/02/2014
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