Organization
JIENSUP KIM MD A PROFESSIONAL CORPORATION
Active
Other names
Mission Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIENSUP KIM MD (PRESIDENT)
(909) 370-0300
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST, SUITE 100A, COLTON, CA 92324-4120
(909) 370-0300
(909) 370-0303
Mailing address
900 E WASHINGTON ST, SUITE 100A, COLTON, CA 92324-4120
(909) 370-0300
(909) 370-0303
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G75806
CA
Other
Enumeration date
01/03/2013
Last updated
02/20/2013
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