Organization
SKIN AESTHETIC MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KIM M.D. (PRESIDENT)
(310) 858-9600
Entity
Organization
Contact information
Practice address
3700 WILSHIRE BLVD, SUITE 310, LOS ANGELES, CA 90010-2901
(310) 858-9600
Mailing address
3700 WILSHIRE BLVD, SUITE 310, LOS ANGELES, CA 90010-2901
(310) 858-9600
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G89056
CA
Other
Enumeration date
11/26/2014
Last updated
12/17/2014
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