Individual
JONATHAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
81709 DR CARREON BLVD STE D3, INDIO, CA 92201-5578
(760) 863-0070
Mailing address
74000 COUNTRY CLUB DR STE E4, PALM DESERT, CA 92260-1678
(760) 848-8231
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E5392
CA
Other
Enumeration date
10/20/2014
Last updated
10/27/2023
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