Provider Information for 1952515579
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Ms. MARIA KIM M.A.
Sex: Female
NPI: 1952515579
Last Updated: 2008-05-06
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1952515579 | ||||||||
| Enumeration Date | 2007-05-10 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 2034 N HOOVER ST APT 3 LOS ANGELES, CA 90027-2833 United States Phone: 323-304-8447 | Fax: | ||||||||
| Primary Practice Address | 680 S WILTON PL LOS ANGELES, CA 90005-3200 United States Phone: 213-365-7400 | Fax:213-383-1280 | ||||||||
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