Individual
JOHN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD DMD
Contact information
Practice address
530 S MAIN ST, ORANGE, CA 92868-4525
(800) 579-3783
Mailing address
1308 E COLORADO BLVD # 2317, PASADENA, CA 91106-1932
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
A143145
CA
Other
Enumeration date
05/12/2010
Last updated
12/06/2023
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