Peter Hyun-Soo Kim | San Diego, CA • PECOS Search

Peter Hyun-Soo Kim

Pediatrics

Allopathic & Osteopathic Physicians

8695 Spectrum Center Blvd # 4004, San Diego, CA 92123-1489

PECOS Enrollment

Based on the most recent information from CMS, provider Peter Hyun-Soo Kim does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1003873761
Provider Type
Individual
Full Name
Kim, Peter Hyun-Soo
Title
Dr.
Credential
D.O.

Gender
Male
Sole Proprietor
No
Enumeration Date
4/27/2006
Last Updated
11/28/2022

Contact Information

Practice Location

8695 Spectrum Center Blvd # 4004, San Diego, CA 92123-1489

Unlisted Fax

Mailing Location

8695 Spectrum Center Blvd # 4004, San Diego, CA 92123-1489

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License 20A7153 California