Provider Demographics
NPI:1588761233
Name:KIM, MILAN (MD)
Entity type:Individual
Prefix:
First Name:MILAN
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18895 COLIMA RD STE A
Mailing Address - Street 2:
Mailing Address - City:ROWLAND HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91748-2978
Mailing Address - Country:US
Mailing Address - Phone:626-581-2332
Mailing Address - Fax:626-581-2343
Practice Address - Street 1:18895 COLIMA RD STE A
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-2978
Practice Address - Country:US
Practice Address - Phone:626-581-2332
Practice Address - Fax:626-581-2343
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA62021208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics