Individual
JIN HEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2 W FERN AVE, REDLANDS, CA 92373
(909) 793-3311
Mailing address
PO BOX 10069, SAN BERNARDINO, CA 92423-0069
(909) 335-4188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A115125
CA
208M00000X
Hospitalist Physician
Primary
A115125
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06533308
—
MS
05
—
2162152
—
LA
Enumeration date
05/09/2011
Last updated
05/24/2018
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