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Organization
TAE EUNG JACK KIM MD A MEDICAL CORPORATION
Active
Organization
TAE EUNG JACK KIM MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAE KIM MD (OWNER)
(714) 255-9897
Entity
Organization
Contact information
Practice address
800 MAIN STREET, CORONA, CA 92882
(951) 737-4343
Mailing address
407 W IMPERIAL HWY STE H, BREA, CA 92821-4803
(877) 996-3763
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
10/11/2023
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