NPI
Michael Kim
NPI 1629786504
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DPT
- Type
- Individual
- Enumeration date
- 2022-11-09
- Last updated
- 2022-11-09
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Specialties
Licenses
- License CA
- 303180
Location
- Practice location
- 25129 the Old Rd Ste 100
- City
- Stevenson Ranch CA
- Postal code
- 91381-2281
- Phone
- (661) 284-1984
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Stevenson Ranch, CA. 136 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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