Organization
BEVERLY CARDIOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA KIM M.D. (PHYSICIAN)
(323) 662-1175
Entity
Organization
Contact information
Practice address
3919 BEVERLY BLVD, #100, LOS ANGELES, CA 90004-3432
(323) 662-1175
(323) 662-7817
Mailing address
3919 BEVERLY BLVD, #100, LOS ANGELES, CA 90004-3432
(323) 662-1175
(323) 662-7817
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A112970
CA
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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