Individual
JOSEPH KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 DARDANELLI LN STE 10, LOS GATOS, CA 95032-1418
(408) 412-8100
Mailing address
PO BOX 31396, WALNUT CREEK, CA 94598-8396
(925) 939-8585
(925) 933-2709
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA64492
CA
Other
Enumeration date
05/17/2024
Last updated
06/13/2024
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