Provider Demographics
NPI:1043552508
Name:KIM, DAVID SEHWAN (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SEHWAN
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:23550 HAWTHORNE BLVD STE 125
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-4767
Mailing Address - Country:US
Mailing Address - Phone:310-891-6733
Mailing Address - Fax:310-517-1348
Practice Address - Street 1:23550 HAWTHORNE BLVD STE 125
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-4767
Practice Address - Country:US
Practice Address - Phone:310-891-6733
Practice Address - Fax:310-517-1348
Is Sole Proprietor?:No
Enumeration Date:2013-03-22
Last Update Date:2019-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA162321207Y00000X, 207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
No207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck