Individual
DR. ILKYOON KIM
Active
Individual
DR. ILKYOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A34081
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A340810
—
CA
01
—
00A340811
BLUE SHIELD
CA
05
—
00A340811
—
CA
01
—
00A340812
BLUE SHIELD
CA
01
—
68-0068216
BLUE CROSS
—
01
—
A34081
LICENSE NUMBER
CA
Enumeration date
08/16/2006
Last updated
06/30/2014
Update your record
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