MEDICARE: MINJI KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	125.080270	IL
2	390200000X	Student in an Organized Health Care Education/Training Program
3	207RI0200X	Infectious Disease Physician	A201286	CA

General Provider Information

NPI Number	:	1265181853
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINJI KIM

Provider Business Mailing Address
First Line	:	5295 CAMERON DR APT 511
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-1309
Country	:	US
Telephone Number	:	562-299-3803
Fax Number	:

Provider Business Practice Location Address
First Line	:	911 BROXTON AVE # 301
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90024-2801
Country	:	US
Telephone Number	:	310-267-5844
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2022
Last Update Date	:	04/20/2026

Similar Medicare Providers

1790700854 — DR. KRISTINA MARIE CORDASCO M.D., M.P.H.
Practice Location Address:

911 BROXTON AVE , 3RD FLOOR
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-2206
Practice Fax: 310-794-3288

1689734584 — DR. YING-YING GOH M.D.
Practice Location Address:

911 BROXTON AVE , 3RD FLOOR
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-2268
Practice Fax:

1164550687 — DR. KARA ODOM WALKER MD, MPH, MSHS
Practice Location Address:

911 BROXTON AVE FL 3
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-2268
Practice Fax:

1205026721 — DR. ALEJANDRA CASILLAS M.D.
Practice Location Address:

911 BROXTON AVE. , #306
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-3508
Practice Fax:

1932376274 — DR. RAYMOND PERRY M.D.
Practice Location Address:

911 BROXTON AVE , 3RD FLOOR
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-2904
Practice Fax: 310-794-3288

1659538536 — DR. ERIN N SALEEBY MD
Practice Location Address:

911 BROXTON AVE FL 3 , UCLA OBGYN
LOS ANGELES, CA
90024-2801

Practice Phone: 310-794-8309
Practice Fax:

Directions to “ MINJI KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.