Individual
DR. SE-UNG SAMUEL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2720 N HARBOR BLVD STE 220, FULLERTON, CA 92835-2626
(657) 243-8300
(714) 278-4286
Mailing address
2720 N HARBOR BLVD STE 220, FULLERTON, CA 92835-2626
(657) 243-8300
(714) 278-4286
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
04-32372
KS
207VE0102X
Reproductive Endocrinology Physician
Primary
A44647
CA
207VG0400X
Gynecology Physician
04-32372
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200424060A
—
KS
Enumeration date
09/08/2006
Last updated
09/18/2019
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