Organization
PETER KIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER K KIM M.D. (PRESIDENT)
(805) 579-8892
Entity
Organization
Contact information
Practice address
1195 ROADRUNNER WAY, SIMI VALLEY, CA 93065-1210
(805) 579-8892
(805) 579-8951
Mailing address
1195 ROADRUNNER WAY, SIMI VALLEY, CA 93065-0000
(805) 579-8892
(805) 579-8951
Taxonomy
Speciality
Code
Description
License number
State
2084N0008X
Neuromuscular Medicine (Psychiatry & Neurology) Physician
A67819
CA
2084N0400X
Neurology Physician
Primary
A67819
CA
2084N0600X
Clinical Neurophysiology Physician
A67819
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A678190
—
CA
01
—
609916600
ACS FECA ID
CA
01
—
ZZZ50179Z
BLUE SHIELD OF CA
CA
Enumeration date
07/01/2006
Last updated
02/12/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us