Healthcare Provider Details

I. General information

NPI: 1588584205
Provider Name (Legal Business Name): DAVID SEIL KIM MD PHD, A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 SAN VICENTE BLVD STE 418
LOS ANGELES CA
90048-5425
US

IV. Provider business mailing address

6230 WILSHIRE BLVD STE A
LOS ANGELES CA
90048-5126
US

V. Phone/Fax

Practice location:
  • Phone: 424-404-8832
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID SEIL KIM
Title or Position: OWNER PHYSICIAN
Credential: MD, PHD
Phone: 424-404-8832