Individual provider · Type 1 NPI

Peter P. Kim

Durable Medical Equipment & Medical Supplies · Corona, CA

NPI number 1497041438 Active

Practice location

720 S. Ramona Ave., Suite 103
Corona, CA 92879-2147

Fax (951) 735-7611

Mailing address

10280 Indiana Ave
Riverside, CA 92503-5357

Specialties and licenses

TaxonomyCodeLicense
Orthotic Fitter 225000000X53282 (CA)
Durable Medical Equipment & Medical Supplies Primary 332B00000X53282 (CA)

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

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About NPI 1497041438

Peter P. Kim's National Provider Identifier is 1497041438, issued on Jun 28, 2011. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Corona, CA. The record was last updated on Jan 5, 2012.