Individual
JA-HONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 UCLA MEDICAL PLZ STE 140, LOS ANGELES, CA 90095-3075
(310) 794-0206
(310) 794-0211
Mailing address
5767 W CENTURY BLVD, SUITE # 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
A99141
CA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
A99141
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A991410
—
CA
Enumeration date
04/03/2007
Last updated
01/09/2020
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