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Il Young Kim Md Facc A Medical Corp
Clinic/Center in Los Angeles, California
NPI 1316130099

Il Young Kim Md Facc A Medical Corp is a Clinic/Center based in Los Angeles, CA. Il Young Kim Md Facc A Medical Corp practices in Los Angeles, CA. The NPI Number for Il Young Kim Md Facc A Medical Corp is 1316130099 and holds a License No. A33707 (California).

The current practice location address for Il Young Kim Md Facc A Medical Corp is 3919 Beverly Blvd, Los Angeles, CA and can be reached out via phone at 323-662-1175 and via fax at 323-662-7817.

Location: 3919 Beverly Blvd, Los Angeles, CA, 90004-3432
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316130099
Provider Name
Il Young Kim Md Facc A Medical Corp
Credential
Provider Entity Type
Organization
Address
3919 Beverly Blvd, Los Angeles, CA, 90004-3432
Phone Number
323-662-1175
Fax Number
323-662-7817
Provider Enumeration Date
08/24/2007
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
A33707 01 CA MEDICAID
institution
Provider Business Practice Location Address Details
Address
3919 Beverly Blvd
City
Los Angeles
State
California
Zip
90004-3432
Phone Number
323-662-1175
Fax Number
323-662-7817
person
Provider Business Mailing Address Details
Address
3919 Beverly Blvd
City
Los Angeles
State
California
Zip
90004-3432
Phone Number
323-662-1175
Fax Number
323-662-7817
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
A33707 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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