Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Peter Kim, MD

Individual provider Family Medicine Physician · NPI 1750902003

Peter Kim, MD is a Family Practice in Los Angeles, California. Qualified in 2020, 6 years ago. Practices with St John's Community Health, a 148-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

808 W 58th St
Los Angeles, CA 90037-3632
Phone: (323) 541-1600
Fax: (323) 541-1661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A185019 (CA)

Record details

NPI number1750902003
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2020
Last updated in NPPESJune 20, 2023
Certification dateAugust 11, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. John'S Community Health — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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