Individual
DANIEL JAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
209 FAIR OAKS AVE, SOUTH PASADENA, CA 91030-1814
(626) 396-2900
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A91209
CA
Other
Enumeration date
10/20/2006
Last updated
11/09/2020
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