Staecy Kim
MD | Pediatric Neonatal-Perinatal Medicine | Female
Staecy Kim, MD is a Los Angeles, California based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Staecy Kim is
4650 W Sunset Blvd, Los Angeles, California - 90027-6062. She can be contacted on phone at
888-631-2452.
Staecy Kim is a sole proprietor of her business.
NPI number (Unique professional ID) for Staecy Kim is
1578060976 which was assigned by NPPES on 11 Apr, 2018 and it was last updated on 09 Jan, 2023.
Staecy Kim license number is
A173674 for Pediatrics, Neonatal-Perinatal Medicine (2080N0001X) in California.
Staecy Kim is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Staecy Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Neonatal-Perinatal Medicine |
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| Provider Name : | Staecy Kim |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Staecy 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 : | 888-631-2452 |
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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 : | 1578060976 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 11 Apr, 2018 |
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| Last Updated On : | 09 Jan, 2023 |
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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 Staecy Kim are as mentioned. Primary taxonomy code for Staecy Kim, MD is
2080N0001X (Pediatrics, Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Yes | A173674 | CA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1919 E THOMAS RD,
PHOENIX, AZ, 85016-7710
United States | PHOENIX, AZ | 602-546-2923 |
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 # Ms 52
Los Angeles, CA, 90027-6062
United States |
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| Phone Number : | 888-631-2452 |
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Business Location:
Patients can refer following map for directions to
Staecy 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.