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Organization
TCHANG JUN KIM MD INC
Active
Organization
TCHANG JUN KIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TCHANG JUN KIM M. D. (PRESIDENT)
(714) 636-0342
Entity
Organization
Contact information
Practice address
12601 GARDEN GROVE BLVD, GARDEN GROVE, CA 92843-1908
(714) 537-5160
(714) 590-2489
Mailing address
PO BOX 775, GARDEN GROVE, CA 92842-0775
(714) 636-0342
(714) 636-0342
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A29337
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A293370
—
CA
Enumeration date
10/23/2007
Last updated
08/22/2014
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