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NPI Code Detail

MEDICARE: BYUM SUK KIM D.C

MEDICARE: BYUM SUK KIM D.C
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
1111N00000XChiropractorDC30749CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111901787OTHERCAQH

General Provider Information

NPI Number : 1558544080
Entity Type Code : Individual
Provider Name (Legal Business Name) : BYUM SUK KIM D.C
Provider Business Mailing Address
First Line : 3240 WILSHIRE BL
Second Line : #240
City : LOS ANGELES
State : CA
Zip : 90010
Country : US
Telephone Number : 213-365-0212
Fax Number : 213-365-0480
Provider Business Practice Location Address
First Line : 3240 WILSHIRE BL
Second Line : #240
City : LOS ANGELES
State : CA
Zip : 90010
Country : US
Telephone Number : 213-365-0212
Fax Number : 213-365-0480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2007
Last Update Date : 11/24/2008

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Directions to “ BYUM SUK KIM D.C” Practice Location

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