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General NPI Number Information
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NPI Number | 1780478032
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Entity Type | Organization
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Legal Business Name | DAVID KIM MD PHD INC
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 6330 SAN VICENTE BLVD STE 418
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City | LOS ANGELES
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State | CA
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Zip | 90048-5425
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Country | US
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Telephone | 310-498-7519
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Fax |
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Provider Business Mailing Address
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Address Line | 6330 SAN VICENTE BLVD STE 418
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City | LOS ANGELES
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State | CA
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Zip | 90048-5425
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Country | US
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Telephone | 310-498-7519
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID KIM
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Credential | MD
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Telephone | 310-498-7519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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