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NPI Code Detail

MEDICARE: DR. ELIZABETH HYUN KIM MD

MEDICARE: DR. ELIZABETH HYUN KIM MD
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
12084P0800XPsychiatry PhysicianA188962CA

General Provider Information

NPI Number : 1770233314
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ELIZABETH HYUN KIM MD
Provider Business Mailing Address
First Line : 10833 LE CONTE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-3075
Country : US
Telephone Number : 310-825-5615
Fax Number :
Provider Business Practice Location Address
First Line : 10833 LE CONTE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90095-3075
Country : US
Telephone Number : 310-825-5615
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2022
Last Update Date : 07/01/2026

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