Individual
HWAN Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1441 FLORIDA AVENUE, MODESTO, CA 95350-4405
(209) 576-3514
Mailing address
PO BOX 28128, FRESNO, CA 93729-8128
(559) 436-0871
(559) 436-5221
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A34650
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A346500
—
CA
Enumeration date
07/15/2006
Last updated
02/26/2008
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