Organization
JAMES DS KIM, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES DS KIM M.D. (CEO)
(209) 368-5196
Entity
Organization
Contact information
Practice address
700 S HAM LN, LODI, CA 95242-3536
(209) 368-5196
Mailing address
700 S HAM LN, LODI, CA 95242-3536
(209) 368-5196
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A20931
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05DO685922
CL
CA
05
—
563729
—
CA
Enumeration date
04/02/2007
Last updated
08/22/2020
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