Individual
ANDREW KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 ADDISON ST STE 329, BERKELEY, CA 94704-1192
(510) 666-0854
Mailing address
3150 SOUTHWYCKE TER, FREMONT, CA 94536-1960
(510) 996-8087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A173279
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
DC
Other
Enumeration date
05/10/2016
Last updated
07/20/2021
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