Peter Kim Md Inc

LBN: Peter Kim Md Inc
Peter Kim Md Inc is an health care organization with primary practice located at 1195 Roadrunner Way , Simi Valley CA 93065-1210. The organization 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 the primary health care specialty. Peter Kim Md Inc can be contacted via phone (805) 579-8892, or through Kim, Peter K via phone (805) 579-8892.

Contact Information

Primary practice address
1195 Roadrunner Way Simi Valley CA 93065-1210
Phone: (805) 579-8892
Fax: (805) 579-8951
Website:
Map and Directions
Authorized official contact:
Name: Kim, Peter K Doctor of Medicine (MD)
Phone: (805) 579-8892

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 1760411946
LBN Legal business name Peter Kim Md Inc
DBA Doing business as
Authorized official Kim, Peter K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2006
Last updated Feb 12th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760411946 NPPES
California MEDICAID 00A678190
California Other ZZZ50179Z
California Other 609916600

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