Individual
DR. GORDON L. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
326 SANTA FE DR, ENCINITAS, CA 92024-5156
(760) 753-5594
Mailing address
10790 RANCHO BERNARDO RD, SAN DIEGO, CA 92127-5705
(760) 753-5594
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G81107
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G811070
—
CA
Enumeration date
09/14/2006
Last updated
09/30/2021
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