Individual
DR. BRIAN S. KIM
Active
Individual
DR. BRIAN S. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A62989
CA
207L00000X
Anesthesiology Physician
Primary
J6003
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A629890
BLUE SHIELD ID #
CA
05
—
00A629890
—
CA
01
—
00A629890385
CALOPTIMA ID #
CA
01
—
050066342
RAILROAD MEDICARE ID #
CA
Enumeration date
07/25/2006
Last updated
06/02/2022
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