Dr. Kungsoo Kim
M.D. | Pediatric Adolescent Medicine | Male
Dr. Kungsoo Kim, M.D. is a Artesia, California based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Kungsoo Kim is
18102 Pioneer Blvd, #201, Artesia, California - 90701-3953. He can be contacted on phone at
562-865-8537 and fax number 562-860-0952.
Dr. Kungsoo Kim is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Kungsoo Kim is
1467415455 which was assigned by NPPES on 10 Apr, 2006 and it was last updated on 02 Jun, 2011.
Dr. Kungsoo Kim license number is
A47842 for Pediatrics Adolescent Medicine (2080A0000X) in California.
Dr. Kungsoo Kim specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Kungsoo Kim basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Kungsoo Kim |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Kungsoo Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 18102 Pioneer Blvd, #201
Artesia, CA, 90701-3953
United States |
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| Phone Number : | 562-865-8537 |
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| Fax Number : | 562-860-0952 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467415455 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Apr, 2006 |
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| Last Updated On : | 02 Jun, 2011 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kungsoo Kim are as mentioned. Primary taxonomy code for Dr. Kungsoo Kim, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | A47842 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kungsoo Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 00A478420 | MEDICAID | CA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 18102 Pioneer Blvd, #201
Artesia, CA, 90701-3953
United States |
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| Phone Number : | 562-865-8537 |
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| Fax Number : | 562-860-0952 |
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Business Location:
Patients can refer following map for directions to
Dr. Kungsoo Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.