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Contact Information

KUNGSOO KIM, MD
18102 PIONEER BLVD
#201
ARTESIA, CA90701-3953
 Phone: 562-865-8537
 Fax: 562-860-0952
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KUNGSOO KIM · (Male)

NPI # 1467415455
Status Active
Credentials MD
Entity Individual
Enumeration date 04/10/2006
Last updated 06/02/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # A47842
  • CA Medicaid 00A478420
Hospital affiliation(s) Not Available
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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