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Individual

DR. JOHN ALBERT KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12665 VILLAGE LN APT 2314, LOS ANGELES, CA 90094-2833
(412) 414-3498
Mailing address
12665 VILLAGE LN APT 2314, LOS ANGELES, CA 90094-2833
(412) 414-3498

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
170537
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101149505
PA
Enumeration date
05/11/2006
Last updated
06/29/2022
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