PETER P KIM
NPI 1497041438
Durable Medical Equipment & Medical Supplies in Corona, CA

Active since June 28, 2011
720 S. RAMONA AVE., SUITE 103, CORONA, CA 92879(951) 735-1677(951) 735-7611 Get Directions Write a Review

NPPES record last updated: January 5, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Peter P Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER P KIM (NPI 1497041438) is an individual durable medical equipment & medical supplies provider in Corona, California, licensed in California (53282) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1497041438
Entity TypeIndividualMale
Primary Taxonomy332B00000X
Provider Legal NamePETER P KIM
Location Address720 S. RAMONA AVE., SUITE 103Corona, CA 92879-2147
Mailing Address10280 Indiana AveRiverside, CA 92503-5357 · (951) 343-0428 · Fax (951) 343-0438
Fax(951) 735-7611
Sole ProprietorYes
Enumeration DateJune 28, 2011
Last NPPES UpdateJanuary 5, 2012
NPI 1497041438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License Licensed in CA · 53282
Definition

A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Also ListedOrthotic FitterTaxonomy 225000000X · License 53282 (CA)
720 S. RAMONA AVE., Corona, CA 92879

Other Identifiers 1

Medicare NSC5448620001CA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Kim's NPI number?

The NPI number for Peter Kim is 1497041438. It was assigned to this individual provider in the NPPES registry on June 28, 2011.

Where is Peter Kim located?

Peter Kim practices at 720 S. Ramona Ave. Suite 103, Corona, CA 92879. The listed phone number is (951) 735-1677.

What is Peter Kim's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Peter Kim was last updated on January 5, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.