Individual
CHANG KYUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 949-5000
(661) 949-5971
Mailing address
101 S 1ST ST, 1000, BURBANK, CA 91502-1938
(818) 845-6206
(818) 845-9774
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A34966
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A349660
BLUE SHIELD
CA
05
—
00A349660
—
CA
Enumeration date
07/28/2006
Last updated
07/08/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us