Individual
JAE YOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3299
(650) 742-2000
Mailing address
1200 EL CAMINO REAL, SOUTH SAN FRANCISCO, CA 94080-3299
(650) 742-2000
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
36.004128
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.004128
OH
261QP1100X
Podiatric Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2021
Last updated
09/30/2025
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