Il Young Kim Md Facc A Medical Corp in Los Angeles - Clinic/center
Il Young Kim Md Facc A Medical Corp - NPI 1316130099
Il Young Kim Md Facc A Medical Corp is a Clinic/center in Los Angeles, California. Il Young Kim Md Facc A Medical Corp practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Il Young Kim Md Facc A Medical Corp is 1316130099. The last update date is 2010-07-20.
Il Young Kim Md Facc A Medical Corp's current location address is 3919 Beverly Blvd, Los Angeles, California. You can contact this provider via phone number 3236621175 and fax number 3236627817. The mailing address for Il Young Kim Md Facc A Medical Corp is 3919 Beverly Blvd, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Il Young Kim Md Facc A Medical Corp |
|---|---|
| Address | 3919 Beverly Blvd, Los Angeles, California |
| Phone Number | 3236621175 |
| Fax Number | 3236627817 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Kim Young Il |
| Credentials | M.D. |
| Telephone Number | 3236621175 |
NPI Number Detail
| NPI Number | 1316130099 |
|---|---|
| Provider Enumeration Date | 2007-08-24 |
| Last Updated Date | 2010-07-20 |
Provider Mailing Address Detail
| Address | 3919 Beverly Blvd |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 900043432 |
| Phone Number | 3236621175 |
| Fax Number | 3236627817 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | A33707 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A33707 | CA | MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Il Young Kim Md Facc A Medical Corp by the Centers for Medicare & Medicaid Services?
The Il Young Kim Md Facc A Medical Corp has been assigned the NPI (National Provider Identifier) 1316130099 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Il Young Kim Md Facc A Medical Corp is physically located?
The Il Young Kim Md Facc A Medical Corp is situated at the following address: 3919 Beverly Blvd, Los Angeles, CA 900043432.
What is Il Young Kim Md Facc A Medical Corp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Il Young Kim Md Facc A Medical Corp is Clinic/center, and the taxonomy code that classifies this field of practice is 261Q00000X.
When was the Il Young Kim Md Facc A Medical Corp's 1316130099 issued?
The Il Young Kim Md Facc A Medical Corp's 1316130099 was issued on 2007-08-24.
When was the information pertaining to Il Young Kim Md Facc A Medical Corp most recently updated or revised?
The details related to Il Young Kim Md Facc A Medical Corp, including its address, specialty, and other relevant information, were last updated or revised on 2010-07-20.