Individual ProviderIsabel KimInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311(310) 423-2726PECOS EnrollmentBased on the most recent information from CMS, provider Isabel Kim is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1346028735Provider TypeIndividualFull NameKim, IsabelCredentialMDGenderFemaleSole ProprietorNoEnumeration Date9/18/2023Last Updated10/8/2024Contact InformationPractice LocationPractice Address127 S San Vicente Blvd Ste A3600, Los Angeles, CA 90048-3311Phone(310) 423-2726Fax(310) 423-6795Mailing LocationMailing Address4140 W 190th St, Torrance, CA 90504-5513PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207RC0000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseA190107CaliforniaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCalifornia