Individual
DR. ANDREW HEEJOON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1414 S GRAND AVE STE 303, LOS ANGELES, CA 90015-3071
(213) 483-5940
Mailing address
1414 S GRAND AVE STE 303, LOS ANGELES, CA 90015-3071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A126764
CA
207RG0100X
Gastroenterology Physician
A126764
CA
208M00000X
Hospitalist Physician
237795
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237795
LICENSE
MA
01
—
A126764
CALIFORNIA
CA
Enumeration date
10/16/2008
Last updated
05/24/2021
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