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Individual
THOMAS DONG KIM
Active
Individual
THOMAS DONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A90400
CA
208M00000X
Hospitalist Physician
Primary
A90400
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912919804
NPI TYPE 2
—
01
—
CG5665
RAIL ROAD MEDICARE GROUP PTAN
CA
01
—
P00460300
RAIL ROAD MEDICARE PROVIDER PTAN
CA
Enumeration date
01/08/2007
Last updated
12/19/2014
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