Peter P Kim
Peter P Kim is an Orthotic Fitter in Corona, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2011
- Specialties on file
- 2
Practice location Address checks out
720 S Ramona Ave Ste 103Corona, CA 92879-2147
Phone: (951) 735-1677
Fax: (951) 735-7611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Durable Medical Equipment & Medical Supplies (primary) | Taxonomy 332B00000X · Licence 53282 (CA) |
|---|---|
| Orthotic Fitter | Taxonomy 225000000X · Licence 53282 (CA) |
Record details
| NPI number | 1497041438 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 28, 2011 |
| Last updated in NPPES | January 5, 2012 |
| Mailing address | 10280 Indiana Ave, Riverside, CA 92503-5357 |