SAM KIM PHYSICIAN SERVICES INC NPI 1104465541

NPI Information

NPI: 1104465541
Provider Name: SAM KIM PHYSICIAN SERVICES INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
150 N ROBERTSON BLVD STE 307
BEVERLY HILLS, CA
ZIP 90211
Phone: (310) 659-8687
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SAM KIM PHYSICIAN SERVICES INC is a primary care clinic center in Beverly Hills, CA. SAM KIM PHYSICIAN SERVICES INC NPI is 1104465541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

150 N ROBERTSON BLVD STE 307
BEVERLY HILLS, CA
ZIP 90211-145
Phone: (310) 659-8687
Fax: (310) 659-2420

The provider's authorized official is Samuel Sungwon Kim .
The authorized official title is Ceo and has the following contact phone number (818) 939-4511.

The enumeration date for this NPI number is 1/2/2020 and was last updated on 11/5/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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