Search › California › 332B00000X
Peter Kim
NPI 1497041438 · on the registry since 2011 · sole proprietor
Practice
- Address
- 720 S. Ramona Ave.
Suite 103
Corona, CA 92879 - Phone
- (951) 735-1677
- Fax
- (951) 735-7611
- Organisation at this address
- Avista Home Care
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 332B00000X
332B00000X
- Also registered as
- 225000000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-01-05
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