Individual
CECILIA SUE-YOUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11301 WILSHIRE BLVD, MAIL CODE 111H, LOS ANGELES, CA 90073-1003
(310) 268-3622
(310) 268-4508
Mailing address
8203 HANNUM AVE, CULVER CITY, CA 90230-6171
(310) 613-4945
(310) 390-4945
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G74909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G749090
MEDICAL PPIN #
CA
Enumeration date
07/25/2006
Last updated
07/08/2007
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