Kim, Terry

Kim, Terry is an individual health care provider with primary practice located at 4650 Lincoln Blvd , Marina Del Rey CA 90292-6306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Kim, Terry can be contacted via phone (310) 823-8911.

Contact Information

Primary practice address
4650 Lincoln Blvd Marina Del Rey CA 90292-6306
Phone: (310) 823-8911
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 39356 Colorado
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X C172779 California

Profile Details

NPI number 1972578524
LBN Legal business name Kim, Terry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 6th, 2022 - about 2 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 1972578524 NPPES
Colorado MEDICAID 65277899

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