Organization
UNIVERSAL SPECIALTIES MEDICAL GROUP, P.C.
Active
Organization
UNIVERSAL SPECIALTIES MEDICAL GROUP, P.C.
Active
Other names
REHABCARE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
TAE SOON KIM M.D. (PRESIDENT)
(213) 536-4242
Entity
Organization
Contact information
Practice address
440 SHATTO PL, 2ND FLOOR #208, LOS ANGELES, CA 90020-1765
(213) 536-4242
(866) 438-5974
Mailing address
440 SHATTO PL, 2ND FLOOR #208, LOS ANGELES, CA 90020-1765
(213) 536-4242
(866) 438-5974
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A32370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A32370
MEDICAL BOARD
CA
Enumeration date
11/02/2009
Last updated
11/02/2009
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