Mimi Kim
Developmental - Behavioral Pediatrics | Female
Mimi Kim is a Los Angeles, California based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Mimi Kim is
4650 W Sunset Blvd, Los Angeles, California - 90027-6062. She can be contacted on phone at
323-361-4606 and fax number 323-361-1350.
Mimi Kim is a sole proprietor of her business.
NPI number (Unique professional ID) for Mimi Kim is
1629296181 which was assigned by NPPES on 23 Apr, 2007 and it was last updated on 03 Sep, 2013.
Mimi Kim license number is
MD11516 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in Rhode Island.
Mimi Kim is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Mimi Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Mimi Kim |
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| Gender : | Female |
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| Sole Proprietor : | Yes |
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Business Address:
Mimi 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 : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-4606 |
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| Fax Number : | 323-361-1350 |
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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 : | 1629296181 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Apr, 2007 |
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| Last Updated On : | 03 Sep, 2013 |
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Medicare Participation:
Mimi Kim participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 4385790500 |
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| Medicare Enrollment ID : | I20090914000098 |
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| Primary Specialty : | Endocrinology |
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| Medical School : | Geisel School Of Medicine At Dartmouth |
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| Graduation Year : | 2001 |
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| Accepts Medicare? | Yes. Mimi Kim accepts medicare insurance. |
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Group Practice Association:
Mimi Kim is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mimi Kim is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Childrens Hospital Los Angeles Medical Group Inc | 0143126920 | 163 | 4650 W Sunset Blvd
Los Angeles, CA - 900276062
Ph: 3233618408 | Yes |
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 Mimi Kim are as mentioned. Primary taxonomy code for Mimi Kim is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | MD11516 | RI |
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 : | 4650 W Sunset Blvd
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 323-361-4606 |
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| Fax Number : | 323-361-1350 |
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Business Location:
Patients can refer following map for directions to
Mimi 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.