Peter Kim Md Inc in Simi Valley - Clinical Neurophysiology
Peter Kim Md Inc - NPI 1760411946
Peter Kim Md Inc is a Clinical Neurophysiology in Simi Valley, California. Peter Kim Md Inc practices all healthcare services and medical treatments related to Clinical Neurophysiology. The NPI Number for Peter Kim Md Inc is 1760411946. The last update date is 2013-02-12.
Peter Kim Md Inc's current location address is 1195 Roadrunner Way, Simi Valley, California. You can contact this provider via phone number 8055798892 and fax number 8055798951. The mailing address for Peter Kim Md Inc is 1195 Roadrunner Way, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Peter Kim Md Inc |
|---|---|
| Address | 1195 Roadrunner Way, Simi Valley, California |
| Phone Number | 8055798892 |
| Fax Number | 8055798951 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kim K Peter |
| Credentials | M.D. |
| Telephone Number | 8055798892 |
NPI Number Detail
| NPI Number | 1760411946 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2013-02-12 |
Provider Mailing Address Detail
| Address | 1195 Roadrunner Way |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930650000 |
| Phone Number | 8055798892 |
| Fax Number | 8055798951 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neurophysiology |
|---|---|
| Taxonomy | 2084N0600X |
| Licence No | A67819 |
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Definition: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A678190 | CA | -- | |
| ZZZ50179Z | CA | BLUE SHIELD OF CA | |
| 609916600 | CA | ACS FECA ID |
Post Comment/ Review Below
What is the Peter Kim Md Inc's 1760411946?
The Peter Kim Md Inc's NPI (National Provider Identifier) Number is 1760411946. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Peter Kim Md Inc?
The Peter Kim Md Inc is physically situated at 1195 Roadrunner Way, in the city of Simi Valley, state of CA, with the postal code 930650000.
What is Peter Kim Md Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Peter Kim Md Inc is Clinical Neurophysiology, and the taxonomy code that classifies this field of practice is 2084N0600X.
When was the Peter Kim Md Inc's 1760411946 issued?
The Peter Kim Md Inc's 1760411946 was issued on 2006-07-01.
When was the Peter Kim Md Inc's information last updated?
The Peter Kim Md Inc's information was last updated on 2013-02-12.