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Organization
KIM ASSOCIATES MEDICAL CLINIC, INC.
Active
Organization
KIM ASSOCIATES MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE M. KIM M.D. (CHIEF EXECUTIVE OFFICER)
(626) 917-1924
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE STE 217, WEST COVINA, CA 91790-3402
(626) 917-1924
(626) 337-8434
Mailing address
1433 W MERCED AVE STE 217, WEST COVINA, CA 91790-3402
(626) 917-1924
(626) 337-8434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A38835
CA
208000000X
Pediatrics Physician
A39454
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689735953
—
CA
Enumeration date
01/02/2007
Last updated
12/28/2012
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