Organization
PETER KIM MD INC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up