Individual
JASON H H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1950 SUNNY CREST DR STE 2700, FULLERTON, CA 92835-3645
(714) 519-3545
Mailing address
1950 SUNNY CREST DR STE 2700, FULLERTON, CA 92835-3645
(714) 519-3545
(714) 870-0000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
000000A75011
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A75011
LICENSE
CA
Enumeration date
10/17/2006
Last updated
03/11/2019
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