Provider Demographics
NPI:1437239605
Name:KIM, HOWARD L (MD)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:L
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:812 AVIS DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-9649
Mailing Address - Country:US
Mailing Address - Phone:800-638-7564
Mailing Address - Fax:866-634-2766
Practice Address - Street 1:999 CORPORATE DR STE 100
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2149
Practice Address - Country:US
Practice Address - Phone:800-638-7564
Practice Address - Fax:866-634-2766
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2021-12-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA000000G866462084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology