Individual
JOHN K MIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10833 LE CONTE AVE, LOS ANGELES, CA 90095-3075
(310) 825-4721
Mailing address
5767 W CENTURY BLVD, #400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A8764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A876400
—
CA
Enumeration date
08/21/2006
Last updated
12/01/2021
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