Individual
DANIEL IL-SUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26520 CACTUS AVE, MORENO VALLEY, CA 92555-3927
(951) 486-4000
Mailing address
PO BOX 7270, MORENO VALLEY, CA 92552-7270
(951) 486-5700
(951) 486-5705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A54577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A545770
—
CA
Enumeration date
07/10/2006
Last updated
04/08/2019
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