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General NPI Number Information
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NPI Number | 1023274420
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Entity Type | Individual
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Provider Name | STEVEN T KIM DO
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Gender | Male
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Dates
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Enumeration Date | 08/05/2008
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 4700 W SUNSET BLVD 3RD FLOOR
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City | LOS ANGELES
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State | CA
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Zip | 90027-6082
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Country | US
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Telephone | 323-783-4976
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Fax |
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Provider Business Mailing Address
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Address Line | 33182 LOTUS AVE
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City | YUCAIPA
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State | CA
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Zip | 92399-2066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 20A 10448
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License Number State | CA
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