Individual
EDWARD J. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
9888 GENESEE AVE, TRAUMA SERVICE #LJ601, LA JOLLA, CA 92037
(858) 626-6362
Mailing address
9888 GENESEE AVE, TRAUMA SERVICE #LJ601, LA JOLLA, CA 92037
(858) 626-6362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52796
CA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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