person
Eugene L Kim, MD
Adult Medicine Physician in Panorama City, California
NPI 1831350024

Eugene L Kim is an Adult Medicine Physician based in Panorama City, CA and is specialized in Adult Medicine. Eugene L Kim practices in Panorama City, CA and has the professional credentials of MD. The NPI Number for Eugene L Kim is 1831350024 and holds a License No. A125087 (California).

The current practice location address for Eugene L Kim is 13652 Cantara St, Panorama City, CA and can be reached out via phone at 703-362-2029.

Location: 13652 Cantara St, Panorama City, CA, 91402-5423
person
Provider Profile Details
NPI Number
1831350024
Provider Name
Eugene L Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
13652 Cantara St, Panorama City, CA, 91402-5423
Phone Number
703-362-2029
Fax Number
Provider Enumeration Date
06/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831350024 05 VA
372703 01 ANTHEM
P00789316 01 MEDICARE RAILROAD CARRIER
541131672006 01 TRICARE
institution
Provider Business Practice Location Address Details
Address
13652 Cantara St
City
State
Zip
91402-5423
Phone Number
703-362-2029
Fax Number
person
Provider Business Mailing Address Details
Address
13652 Cantara St
City
State
Zip
91402-5423
Phone Number
703-362-2029
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
A125087 (California)
Definition
Definition to come.
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