Organization
JAY & SUN KIM PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOO R KIM M.D. (OWNER)
(661) 831-1100
Entity
Organization
Contact information
Practice address
9905 BACE AVE, BAKERSFIELD, CA 93307-6211
(661) 831-1100
(661) 831-8279
Mailing address
9905 BACE AVE, BAKERSFIELD, CA 93307-6211
(661) 831-1100
(661) 831-8279
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
00A380850
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A380850
—
CA
Enumeration date
07/16/2010
Last updated
07/16/2010
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