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NPI Code Detail

MEDICARE: WOOSUNG KIM M.D.

MEDICARE:   WOOSUNG  KIM  M.D.
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
1207L00000XAnesthesiology PhysicianA123395CA

General Provider Information

NPI Number : 1477844629
Entity Type Code : Individual
Provider Name (Legal Business Name) : WOOSUNG KIM M.D.
Provider Business Mailing Address
First Line : 2768 SEPULVEDA BLVD # 36
Second Line :
City : TORRANCE
State : CA
Zip : 90505-2952
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2768 SEPULVEDA BLVD # 36
Second Line :
City : TORRANCE
State : CA
Zip : 90505-2952
Country : US
Telephone Number : 999-999-9999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2011
Last Update Date : 02/18/2026

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Directions to “ WOOSUNG KIM M.D.” Practice Location

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