Organization
NIPPON CLINIC AND NOGUCHI NINGEN DOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILDONG KIM MD (MEDICAL DIRECTOR)
(858) 560-8910
Entity
Organization
Contact information
Practice address
3707 CONVOY ST, SAN DIEGO, CA 92111-3754
(858) 560-8910
(858) 560-8011
Mailing address
3707 CONVOY ST, SAN DIEGO, CA 92111-3754
(858) 560-8910
(858) 560-8011
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
08/22/2020
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