Organization
ANDREW J. KIM, M.D. INC
Active
Organization
ANDREW J. KIM, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW JEONG KIM M.D. (PRESIDENT)
(800) 883-7243
Entity
Organization
Contact information
Practice address
1720 TERMINO AVE, LONG BEACH, CA 90804-2104
(562) 494-0641
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A62488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A624880
—
CA
Enumeration date
09/11/2007
Last updated
07/13/2011
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