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NPI Code Detail

MEDICARE: DR. JULIAN KIM MD

MEDICARE: DR. JULIAN KIM MD
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
1207P00000XEmergency Medicine PhysicianA60721CA

Other Identifiers

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

General Provider Information

NPI Number : 1598720427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JULIAN KIM MD
Provider Business Mailing Address
First Line : PO BOX 998
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91603-0998
Country : US
Telephone Number : 818-509-2222
Fax Number : 818-509-2229
Provider Business Practice Location Address
First Line : 1191 PHELPS AVE
Second Line :
City : COALINGA
State : CA
Zip : 93210-9609
Country : US
Telephone Number : 559-934-6400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2006
Last Update Date : 12/14/2007

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