Individual
BRIAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9353 IMPERIAL HWY, DOWNEY, CA 90242-2812
(562) 657-4155
Mailing address
9353 IMPERIAL HWY, DOWNEY, CA 90242-2812
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
53703
CA
Other
Enumeration date
05/26/2016
Last updated
12/02/2021
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