Peter Kim MD Inc

Neurology Physician · Simi Valley, CA

Organization Active NPI

NPI number 1760411946

Practice location

1195 Roadrunner Way
Simi Valley, CA 93065-1210

Phone: (805) 579-8892
Fax: (805) 579-8951

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NPI record

NPI: 1760411946
Entity type: Organization (Type 2)
Enumeration date: July 1, 2006
Last updated: February 12, 2013
Organization subpart: No

Specialties & taxonomy codes

Taxonomy	Code	License	State
Neurology Physician Primary	`2084N0400X`	A67819	CA
Neuromuscular Medicine (Psychiatry & Neurology) Physician	`2084N0008X`	A67819	CA
Clinical Neurophysiology Physician	`2084N0600X`	A67819	CA

Mailing address

1195 Roadrunner Way
Simi Valley, CA 93065-0000

Phone: (805) 579-8892
Fax: (805) 579-8951

Authorized official

Name: Dr. Peter K Kim, M.D.
Title: President
Phone: (805) 579-8892

About Peter Kim MD Inc

Peter Kim MD Inc is a healthcare organization registered in the NPI registry with the primary taxonomy Neurology Physician (code 2084N0400X). The practice location is 1195 Roadrunner Way, Simi Valley, CA 93065-1210. The NPI number 1760411946 was assigned on July 1, 2006 and the record was last updated on February 12, 2013.

Peter Kim MD Inc lists 3 licenses in the registry: #A67819 (CA) for Neurology Physician; #A67819 (CA) for Neuromuscular Medicine (Psychiatry & Neurology) Physician; #A67819 (CA) for Clinical Neurophysiology Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Peter K Kim, M.D., President.

Frequently asked questions

What is the NPI number of Peter Kim MD Inc?

The NPI number is 1760411946.

What is the phone number of Peter Kim MD Inc?

The phone number listed for the practice location is (805) 579-8892.

Where is Peter Kim MD Inc located?

1195 Roadrunner Way, Simi Valley, CA 93065-1210.

What is the taxonomy code for Peter Kim MD Inc?

The primary taxonomy code is 2084N0400X – Neurology Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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