Organization
CHUNG W. KIM,M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUNG W KIM M.D. (M.D.)
(323) 261-2111
Entity
Organization
Contact information
Practice address
4082 WHITTIER BLVD, STE 102, LOS ANGELES, CA 90023-2558
(323) 261-2111
Mailing address
4082 WHITTIER BLVD, STE 102, LOS ANGELES, CA 90023-2558
(323) 261-2111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A034623
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A346232
—
CA
Enumeration date
05/03/2007
Last updated
08/22/2020
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