Individual
MR. BILLY YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 833-8711
Mailing address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
22628
CA
Other
Enumeration date
02/02/2013
Last updated
10/27/2021
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