Individual
DR. CHOLL WAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D
Contact information
Practice address
6719 ALVARADO RD STE 304, SAN DIEGO, CA 92120-5265
(619) 344-6918
(619) 333-6029
Mailing address
6719 ALVARADO RD STE 304, SAN DIEGO, CA 92120-5265
(619) 344-6918
(619) 333-6029
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A64323
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A64323
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A643230
—
CA
Enumeration date
07/13/2006
Last updated
12/12/2022
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