Organization
BROOKVIEW MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAE HWA KIM M.D. (MEDICAL DIRECTOR)
(951) 658-3221
Entity
Organization
Contact information
Practice address
1000 E LATHAM AVE, SUITE C, HEMET, CA 92543-4409
(951) 658-3221
(951) 658-4657
Mailing address
1000 E LATHAM AVE, SUITE C, HEMET, CA 92543-4409
(951) 658-3221
(951) 658-4657
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A43368
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A433680
—
CA
Enumeration date
02/19/2007
Last updated
06/21/2010
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