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:
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Health care specialties

SpecialtyCodeLicense #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 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053534610 NPPES
California MEDICAID 00A678190
California Other 609916600

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