Individual
CHRISTOPHER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5217 S STATE ST STE 200, MURRAY, UT 84107-4812
(801) 313-4118
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(707) 521-4480
(707) 521-4460
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
12805646-1205
UT
2085R0202X
Diagnostic Radiology Physician
A139439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A139439
STATE MEDICAL LICENSE
CA
Enumeration date
06/30/2014
Last updated
06/06/2022
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