Individual
JEONG AI KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9310 SIERRA AVE, FONTANA, CA 92335-5711
(909) 427-3700
Mailing address
9310 SIERRA AVE, FONTANA, CA 92335-5711
(909) 427-3700
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A105883
CA
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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