Sang I Kim
Surgeon General Practice Physician
19231 Victory Blvd 200
Reseda
, California 91335-6308
Sang I Kim
Surgeon General Practice Physician
19231 Victory Blvd 200
Reseda
, California 91335-6308
(818) 776-0401
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About
Features
Specialties
- Surgeon
- General Practice Physician
Languages spoken
- English
Location
First Address
- Sang I Kim
- 19231 Victory Blvd 200
- Reseda, CA
- Zip : 91335-6308
- Phone : (818) 776-0401
Second Address
- Sang I Kim
- 19231 Victory Blvd 200
- Reseda, CA
- Zip : 91335-6308
- Phone : (818) 776-0401
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FAQs
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What type of doctor is Sang I Kim
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | C42314 | CA |
| N | 208600000X | Surgeon | C42314 | CA |
| Y | 208D00000X | General Practice Physician | C42314 | CA |
National Provider Identifier
| NPI | 1043244692 |
|---|---|
| Provider Name | Sang I Kim |
| First Address | Reseda, CA 91335-6308 |
| Second Address | Reseda, CA 91335-6308 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/07/2006 |
| Last Update Date | 16/04/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| D61549 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.