National Provider Identifier Database

KUNGSOO KIM, MD – NPI #1467415455
Adolescent Medicine

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.


Contact Information

KUNGSOO KIM, MD
18102 PIONEER BLVD
#201
ARTESIA, CA90701-3953
Phone: 562-865-8537
Fax: 562-860-0952
Website:
Specialty Taxonomy Code
* Adolescent Medicine 2080A0000X

* Indicates primary specialty

NPI Profile & details for KUNGSOO KIM

NPI Number 1467415455
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 06/02/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • CA License #: A47842
  • CA Medicaid: 00A478420
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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