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Organization
KIM-WAYNE MEDICAL ENTERPRISES INC
Active
Organization
KIM-WAYNE MEDICAL ENTERPRISES INC
Active
Other names
Healthy Family Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY KIM-WAYNBE GIN M.D. (CEO)
(626) 696-9078
Entity
Organization
Contact information
Practice address
218 W BADILLO ST, COVINA, CA 91723-1906
(626) 332-6234
(626) 331-1264
Mailing address
218 W BADILLO ST, COVINA, CA 91723-1906
(626) 332-6234
(626) 331-1264
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A101609
CA
Other
Enumeration date
05/16/2011
Last updated
05/16/2011
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