Most Relevant Information
Provider Data
| NPI Number: | 1003392309 |
| Provider Name: | HAEIN KIM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/19/2018 |
| Last Updated: | 01/25/2022 |
Provider Practice Location
110 N LA BREA AVE
INGLEWOOD
CA
903011708
Practice Location Phone/Fax
| Phone: | 8335742273 |
| Fax: |
Provider Mailing Location
110 N LA BREA AVE
INGLEWOOD
CA
903011708
Provider Mailing Phone/Fax
| Phone: | 8335742273 |
| Fax: |