Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A79341 | CA |
NPI | 1083652283 |
---|---|
Provider Name | Dr. Paul Hyoun Kim |
First Address | Los Angeles, CA 90006-2699 |
Second Address | Torrance, CA 90505-4035 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2006 |
Last Update Date | 04/03/2019 |