Most Relevant Information
Provider Data
| NPI Number: | 1003441262 |
| Provider Name: | KENNETH TAEYOUNG KIM MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | A183373 |
Most Important Dates
| Enumeration Date: | 03/09/2020 |
| Last Updated: | 09/11/2024 |
Provider Practice Location
1100 GLENDON AVE STE 1200
LOS ANGELES
CA
900243516
Practice Location Phone/Fax
| Phone: | 3107940785 |
| Fax: |
Provider Mailing Location
924 WESTWOOD BLVD STE 300
LOS ANGELES
CA
900242924
Provider Mailing Phone/Fax
| Phone: | 3107940785 |
| Fax: |