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Contact Information

PETER KIM MD INC
1195 ROADRUNNER WAY
SIMI VALLEY, CA93065-1210
 Phone: 805-579-8892
 Fax: 805-579-8951
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neuromuscular Medicine

2084N0008X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PETER KIM MD INC · (Female)

NPI Number 1760411946
Status Active
Credentials
Entity Individual
Enumeration date 07/01/2006
Last updated 02/12/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A67819
  • CA Medicaid 00A678190
  • CA Other 609916600 ACS FECA ID
  • CA Other ZZZ50179Z BLUE SHIELD OF CA
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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