Individual
JASON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 N TUSTIN AVE, SANTA ANA, CA 92705-3813
(714) 619-5383
Mailing address
3075 WILSHIRE BLVD APT 304, LOS ANGELES, CA 90010-1287
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17879
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2018
Last updated
09/14/2022
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