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Peter Kim Md Inc
Clinical Neurophysiology Physician in Simi Valley, California
NPI 1760411946

Peter Kim Md Inc is a Clinical Neurophysiology Physician based in Simi Valley, CA and is specialized in Clinical Neurophysiology. Peter Kim Md Inc practices in Simi Valley, CA. The NPI Number for Peter Kim Md Inc is 1760411946 and holds a License No. A67819 (California).

The current practice location address for Peter Kim Md Inc is 1195 Roadrunner Way, Simi Valley, CA and can be reached out via phone at 805-579-8892 and via fax at 805-579-8951.

Location: 1195 Roadrunner Way, Simi Valley, CA, 93065-0000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760411946
Provider Name
Peter Kim Md Inc
Credential
Provider Entity Type
Organization
Address
1195 Roadrunner Way, Simi Valley, CA, 93065-0000
Phone Number
805-579-8892
Fax Number
805-579-8951
Provider Enumeration Date
07/01/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A678190 05 CA
ZZZ50179Z 01 CA BLUE SHIELD OF CA
609916600 01 CA ACS FECA ID
institution
Provider Business Practice Location Address Details
Address
1195 Roadrunner Way
City
Simi Valley
State
California
Zip
93065-1210
Phone Number
805-579-8892
Fax Number
805-579-8951
person
Provider Business Mailing Address Details
Address
1195 Roadrunner Way
City
Simi Valley
State
California
Zip
93065-1210
Phone Number
805-579-8892
Fax Number
805-579-8951
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
A67819 (California)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
A67819 (California)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Clinical Neurophysiology
Taxonomy
2084N0600X
License No.
A67819 (California)
Definition
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).
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