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Individual

DR. PETER SIMON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM, MS

Contact information

Practice address
5220 PACIFIC CONCOURSE DR, STE 120, LOS ANGELES, CA 90045-6244
(310) 228-0396
(888) 492-2900
Mailing address
PO BOX 3156, TORRANCE, CA 90510-3156
(310) 228-0396
(310) 530-1595

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4672
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E4672
STATE LICENSE
CA
Enumeration date
06/06/2008
Last updated
03/07/2023
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