Individual
DR. E. EDMUND KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16100 SAND CANYON AVE STE 130, IRVINE, CA 92618-3722
(713) 792-3008
(713) 792-4580
Mailing address
16100 SAND CANYON AVE, STE 100, IRVINE, CA 92618-3721
(713) 792-3008
(713) 792-4580
Taxonomy
Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
Primary
G0448
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124031901
—
TX
01
—
800323
BCBS
TX
Enumeration date
10/02/2006
Last updated
08/01/2022
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