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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