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NPI Code Detail

MEDICARE: DR. WOO SUP KIM DC

MEDICARE: DR. WOO SUP KIM DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorDC27464CA

General Provider Information

NPI Number : 1144249269
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WOO SUP KIM DC
Provider Business Mailing Address
First Line : 2120 W 8TH ST
Second Line : SUITE 200
City : LOS ANGELES
State : CA
Zip : 90057-4019
Country : US
Telephone Number : 213-483-3987
Fax Number : 213-483-5547
Provider Business Practice Location Address
First Line : 2120 W 8TH ST
Second Line : SUITE 200
City : LOS ANGELES
State : CA
Zip : 90057-4019
Country : US
Telephone Number : 213-483-3987
Fax Number : 213-483-5547
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 03/26/2015

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Directions to “ DR. WOO SUP KIM DC” Practice Location

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