Individual
MARIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
300 UCLA MEDICAL PLZ STE B200, LOS ANGELES, CA 90095-3311
(310) 794-1195
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R-11143
IA
2084N0400X
Neurology Physician
Primary
A164090
CA
Other
Enumeration date
04/12/2018
Last updated
07/01/2024
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