Peter P Kim

Individual provider Orthotic Fitter · NPI 1497041438

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

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Practice location Address checks out

720 S Ramona Ave Ste 103
Corona, CA 92879-2147 Not confirmed with CMS for 14 years — call before visiting
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