Kim, Ilkwon
Kim, Ilkwon is an individual health care provider with primary practice located at 412 S Wilton Pl Apt 402 , Los Angeles CA 90020-4586. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Kim, Ilkwon can be contacted via phone (121) 380-0101.Contact Information
Primary practice address
412 S Wilton Pl Apt 402
Los Angeles CA 90020-4586
Phone: (121) 380-0101
Fax: (213) 800-1010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C50652 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | C50652 | California |
Profile Details
| NPI number | 1639141773 |
|---|---|
| LBN Legal business name | Kim, Ilkwon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Mar 17th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639141773 | NPPES |
| California | Other | D3254925 | DRIVERS LICENSE |
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