Individual
MIMI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4606
(323) 361-1350
Mailing address
4650 W SUNSET BLVD, LOS ANGELES, CA 90027-6062
(323) 361-4606
(323) 361-1350
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
MD11516
RI
Other
Enumeration date
04/23/2007
Last updated
09/03/2013
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