Individual
PETER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1520 SAN PABLO ST, SUITE 2000, LOS ANGELES, CA 90033-5310
(323) 442-5860
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5860
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A142457
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2011
Last updated
11/18/2021
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