Individual
DANIEL E KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3706
(909) 883-1098
(909) 883-0653
Mailing address
284 E HIGHLAND AVE, SAN BERNARDINO, CA 92404-3706
(909) 883-1098
(909) 883-0653
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
05/23/2021
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