Provider Demographics
NPI:1811197544
Name:KIM, TRISHA (MD)
Entity Type:Individual
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First Name:TRISHA
Middle Name:
Last Name:KIM
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 W CARSON ST
Mailing Address - Street 2:DEPT. OF RADIOLOGY BOX 27
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502-2004
Mailing Address - Country:US
Mailing Address - Phone:310-222-2847
Mailing Address - Fax:310-618-9500
Practice Address - Street 1:1000 W CARSON ST
Practice Address - Street 2:DEPT. OF RADIOLOGY BOX 27
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-2004
Practice Address - Country:US
Practice Address - Phone:310-222-2847
Practice Address - Fax:310-618-9500
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2021-12-06
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Provider Licenses
StateLicense IDTaxonomies
CAA980042085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology