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General NPI Number Information
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NPI Number | 1609682871
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Entity Type | Organization
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Legal Business Name | CHAN AND KIMN MEDICAL GROUP
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 3727 W 6TH ST STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90020-5108
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Country | US
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Telephone | 213-365-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 21143 HAWTHORNE BLVD # 251
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City | TORRANCE
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State | CA
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Zip | 90503-4615
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Country | US
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Telephone | 424-587-0863
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | EUGENE KIMN
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Credential | MD
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Telephone | 803-319-0986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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