Organization
PACIFIC SENIOR MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH K KIM MD (PRESIDENT)
(213) 234-5575
Entity
Organization
Contact information
Practice address
520 S VIRGIL AVE STE 106, LOS ANGELES, CA 90020-1417
(213) 234-5575
Mailing address
520 S VIRGIL AVE STE 106, LOS ANGELES, CA 90020-1417
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
01/30/2026
Last updated
01/30/2026
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