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Organization
JIN MAN KIM FAMILY MD INC
Active
Organization
JIN MAN KIM FAMILY MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIN MAN KIM M.D. (FAMILY PRACTICE)
(909) 948-7590
Entity
Organization
Contact information
Practice address
8237 ROCHESTER AVE, #130, RANCHO CUCAMONGA, CA 91730-6780
(909) 948-7590
(909) 948-7290
Mailing address
8237 ROCHESTER AVE, #130, RANCHO CUCAMONGA, CA 91730-0716
(909) 948-7590
(909) 948-7290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A61463
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61463
STATE LIC #
CA
Enumeration date
04/03/2007
Last updated
07/13/2015
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