National Provider Identifier Database

PETER KIM MD INC
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


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
* Neurology 2084N0400X
Clinical Neurophysiology 2084N0600X
Neuromuscular Medicine 2084N0008X

* Indicates primary specialty

NPI Profile & details for PETER KIM MD INC

NPI Number 1760411946
Legal business name
LBN
PETER KIM MD INC
Authorized official PETER KIM - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/01/2006
Last updated 02/12/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: A67819
  • CA Medicaid: 00A678190
  • CA Other: 609916600 ACS FECA ID
  • CA Other: ZZZ50179Z BLUE SHIELD OF CA

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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