institution
Stanley S. Kim, M.d.
Medical Specialty Clinic/Center in Los Angeles, California
NPI 1073791687

Stanley S. Kim, M.d. is a Medical Specialty Clinic/Center based in Los Angeles, CA and is specialized in Medical Specialty. Stanley S. Kim, M.d. practices in Los Angeles, CA. The NPI Number for Stanley S. Kim, M.d. is 1073791687 and holds a License No. G54395 (California).

The current practice location address for Stanley S. Kim, M.d. is 3663 W 6Th St, Los Angeles, CA and can be reached out via phone at 213-385-8500 and via fax at 213-385-4896.

Location: 3663 W 6Th St, Los Angeles, CA, 90020-3049
institution
Provider Profile Details
NPI Number
1073791687
Provider Name
Stanley S. Kim, M.d.
Credential
Provider Entity Type
Organization
Address
3663 W 6Th St, Los Angeles, CA, 90020-3049
Phone Number
213-385-8500
Fax Number
213-385-4896
Provider Enumeration Date
02/06/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1050960002 01 CA MEDICARE DMEPOS SUPPLIER
00G543951 05 CA
00G543950 05 CA
institution
Provider Business Practice Location Address Details
Address
3663 W 6Th St
City
State
Zip
90020-3049
Phone Number
213-385-8500
Fax Number
213-385-4896
person
Provider Business Mailing Address Details
Address
3663 W 6Th St
City
State
Zip
90020-3049
Phone Number
213-385-8500
Fax Number
213-385-4896
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
License No.
G54395 (California)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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