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Peter Kim
NPI 1376206243 · on the registry since 2021 · sole proprietor
Practice
- Address
- 1345 Emerald Dr Apt 106
Los Angeles, CA 90026 - Phone
- (213) 505-6926
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California