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Individual

DR. FRANK H KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
801 S MAIN ST STE 201, CORONA, CA 92882-3410
(951) 735-2700
(951) 735-7564
Mailing address
801 S MAIN ST STE 201, CORONA, CA 92882-3410
(951) 735-2700
(951) 735-7564

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
33113
AL
208800000X
Urology Physician
FK072217
MI
208800000X
Urology Physician
Primary
G87046
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G870460
MEDICARE CALIFORNIA
CA
01
0982255
HEALTHPLUS
MI
05
159278
AL
01
340015653
RAILROAD MEDICARE
MI
01
340019578
TRICARE
MI
01
340G310500
BLUE CROSS
MI
05
4153053
MI
05
4153071
MI
01
5162198
AETNA
MI
Enumeration date
08/24/2005
Last updated
10/19/2022
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