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Peter P. Kim
Durable Medical Equipment & Medical Supplies in Riverside, California
NPI 1164538369

Peter P. Kim is a Durable Medical Equipment & Medical Supplies based in Riverside, CA. Peter P. Kim practices in Riverside, CA. The NPI Number for Peter P. Kim is 1164538369 and holds a License No. 44384 (California).

The current practice location address for Peter P. Kim is 10280 Indiana Ave, Riverside, CA and can be reached out via phone at 951-343-0428 and via fax at 951-343-0438.

Location: 10280 Indiana Ave, Riverside, CA, 92503-5357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164538369
Provider Name
Peter P. Kim
Credential
Provider Entity Type
Organization
Address
10280 Indiana Ave, Riverside, CA, 92503-5357
Phone Number
951-343-0428
Fax Number
951-343-0438
Provider Enumeration Date
08/21/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
17867 01 CA HMDR EXEMPTEE LICENSE
44384 01 CA HOME MED DEVICE RETAIL
9424937 05 CA
institution
Provider Business Practice Location Address Details
Address
10280 Indiana Ave
City
Riverside
State
California
Zip
92503-5357
Phone Number
951-343-0428
Fax Number
951-343-0438
person
Provider Business Mailing Address Details
Address
10280 Indiana Ave
City
Riverside
State
California
Zip
92503-5357
Phone Number
951-343-0428
Fax Number
951-343-0438
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
44384 (California)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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