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General NPI Number Information
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NPI Number | 1952477648
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Entity Type | Organization
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Legal Business Name | WHAN SIL KIM, M.D., INC.
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Dates
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Enumeration Date | 11/27/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 903 CRENSHAW BLVD SUITE 305
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City | LOS ANGELES
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State | CA
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Zip | 90019-1964
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Country | US
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Telephone | 323-931-1400
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Fax | 323-931-2002
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Provider Business Mailing Address
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Address Line | 5042 WILSHIRE BLVD SUITE 620
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City | LOS ANGELES
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State | CA
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Zip | 90036-4305
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Country | US
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Telephone | 323-931-1400
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Fax | 323-931-2002
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Authorized Official
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Title or Position | PRESIDENT
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Name | WHAN SIL KIM
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Credential | M.D.
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Telephone | 323-931-1400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A35061
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License Number State | CA
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