Individual
MR. JONG GUHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
414 S PROSPECTORS RD, SUITE B, DIAMOND BAR, CA 91765-1615
(909) 860-0606
(909) 860-6161
Mailing address
414 S PROSPECTORS RD, SUITE B, DIAMOND BAR, CA 91765-1615
(909) 860-0606
(909) 860-6161
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
953677780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6169716
—
CA
Enumeration date
09/20/2006
Last updated
12/20/2017
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