Search › California › 207R00000X
Mark Kim, M.D
NPI 1073743621 · on the registry since 2009 · sole proprietor
Practice
- Address
- 11539 Hawthorne Blvd
6e
Hawthorne, CA 90250 - Phone
- (310) 675-5370
- Organisation at this address
- Los Angeles County Department Of Mental Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 390200000X
- Licence states on file
- AZ, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California