Kim, Peter K.
Kim, Peter K. is an individual health care provider with primary practice located at 1195 Roadrunner Way , Simi Valley CA 93065-0000. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromuscular Medicine, Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Kim, Peter K. can be contacted via phone (805) 579-8892.Contact Information
Primary practice address
1195 Roadrunner Way
Simi Valley CA 93065-0000
Phone: (805) 579-8892
Fax: (805) 579-8951
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromuscular Medicine | 2084N0008X | A67819 | California |
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | A67819 | California |
Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | A67819 | California |
Profile Details
NPI number | 1053534610 |
---|---|
LBN Legal business name | Kim, Peter K. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2007 |
Last updated | Feb 12th, 2013 - about 12 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 | 1053534610 | NPPES |
California | MEDICAID | 00A678190 | |
California | Other | 609916600 |
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