Organization
AMY L KIM A CALIFORNIA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMY L KIM MD (MANAGER)
(626) 795-8051
Entity
Organization
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
(626) 795-7374
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
(626) 795-7374
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A102809
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A102809
MEDICAL LICENSE
CA
Enumeration date
01/09/2015
Last updated
01/09/2015
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