Individual
MS. KIM MARGOLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2121 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2303
(310) 829-8317
(310) 315-6143
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G48714
CA
207RH0003X
Hematology & Oncology Physician
G48714
CA
207RX0202X
Medical Oncology Physician
Primary
G48714
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G487140
—
CA
Enumeration date
08/25/2006
Last updated
11/22/2022
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