MEDICARE: YONHUI KIM BC-HIS

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	237700000X	Hearing Instrument Specialist	HA3602	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588759898
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YONHUI KIM BC-HIS

Provider Business Mailing Address
First Line	:	3000 W OLYMPIC BLVD
Second Line	:	SUITE 307
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2516
Country	:	US
Telephone Number	:	213-365-8814
Fax Number	:	213-365-1716

Provider Business Practice Location Address
First Line	:	3000 W OLYMPIC BLVD
Second Line	:	SUITE 307
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2516
Country	:	US
Telephone Number	:	213-365-8814
Fax Number	:	213-365-1716

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

Provider Enumeration Date	:	10/03/2006
Last Update Date	:	07/09/2007

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Directions to “ YONHUI KIM BC-HIS” Practice Location

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