Warren Tackhoon Kim in Los Altos - Neuroradiology

Warren Tackhoon Kim - NPI 1063532778

Warren Tackhoon Kim is a Neuroradiology in Los Altos, California. Warren Tackhoon Kim practices all healthcare services and medical treatments related to Neuroradiology. The NPI Number for Warren Tackhoon Kim is 1063532778. The last update date is 2021-01-11.

Warren Tackhoon Kim's current location address is 325 Distel Cir, Los Altos, California. You can contact this provider via phone number 4156000528 and fax number 4153691207. The mailing address for Warren Tackhoon Kim is 325 Distel Cir, Los Altos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Warren Tackhoon Kim
Address 325 Distel Cir, Los Altos, California
Phone Number 4156000528
Fax Number 4153691207
Sole Proprietor N
Credentials M.D., PH.D

NPI Number Detail

NPI Number 1063532778
Provider Enumeration Date 2007-03-29
Last Updated Date 2021-01-11

Provider Mailing Address Detail

Address 325 Distel Cir
City Los Altos
State California (CA)
Post Code 940221408
Phone Number 4156000528
Fax Number 4153691207

Provider's Primary Taxonomy Detail

Speciality Neuroradiology
Taxonomy 2085N0700X
Licence No A91921
Definition:
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1063532778 CA --
A91921 CA STATE MEDICAL LICENSE
P01266715 CA RAILROAD MEDICARE

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FAQs about Warren Tackhoon Kim

What is the unique 10-digit identifier code issued to Warren Tackhoon Kim by the Centers for Medicare & Medicaid Services?

The Warren Tackhoon Kim has been assigned the NPI (National Provider Identifier) 1063532778 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Where is the Warren Tackhoon Kim located?

The Warren Tackhoon Kim is located at 325 Distel Cir, Los Altos, CA 940221408.

What is Warren Tackhoon Kim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Warren Tackhoon Kim is Neuroradiology, and the corresponding taxonomy classification code for this specialized field is 2085N0700X.

On what date did the Centers for Medicare & Medicaid Services issue the 1063532778 to Warren Tackhoon Kim?

The Warren Tackhoon Kim received its 1063532778 assignment from the Centers for Medicare & Medicaid Services on 2007-03-29.

As of what date were the Warren Tackhoon Kim's details last updated?

The information pertaining to the Warren Tackhoon Kim, including its address, specialty, and other details, was most recently updated on 2021-01-11.

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