Organization
LA TOWN MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEUNG H KIM M.D. (CEO)
(213) 385-5500
Entity
Organization
Contact information
Practice address
3663 W 6TH ST, SUITE 206, LOS ANGELES, CA 90020-3049
(213) 385-5500
(213) 385-1455
Mailing address
3663 W 6TH ST, SUITE 206, LOS ANGELES, CA 90020-3049
(213) 385-5500
(213) 385-1455
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A50035
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0066630
—
CA
Enumeration date
07/04/2006
Last updated
08/22/2020
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