Kim, Peter Lee

Kim, Peter Lee is an individual health care provider with primary practice located at 660 Baker St Ste A101 , Costa Mesa CA 92626-4407. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Kim, Peter Lee can be contacted via phone (714) 668-2500.

Contact Information

Primary practice address
660 Baker St Ste A101 Costa Mesa CA 92626-4407
Phone: (714) 668-2500
Fax: (714) 668-2515
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G77031 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X G77031 California

Profile Details

NPI number 1609815224
LBN Legal business name Kim, Peter Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 19th, 2023 - about last year

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 1609815224 NPPES
California Other P00425054 MEDICARE RAILROAD

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