Individual provider · Type 1 NPI

William Chul Kyu Im

Student in an Organized Health Care Education/Training Program · Los Angeles, CA

NPI number 1093405250 Active

Practice location

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414

Call (323) 268-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA206637 (CA)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1093405250

William Chul Kyu Im's National Provider Identifier is 1093405250, issued on May 11, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Los Angeles, CA. The record was last updated on Sep 18, 2026.