Individual
DR. LAWRENCE YONGSHIK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 TROUSDALE DR, 4TH FLOOR, BURLINGAME, CA 94010-4506
(650) 652-8350
(650) 652-8351
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(650) 652-8350
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
A71258
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0016181
—
CA
01
—
ZZZ91876Z
GROUP MEDICARE ID#
CA
Enumeration date
12/19/2006
Last updated
06/22/2020
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