Individual
DR. JEANNIE G KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 E 4TH ST, NATIONAL CITY, CA 91950-2026
(888) 657-1576
(619) 937-3698
Mailing address
PO BOX 511419, LOS ANGELES, CA 90051-7974
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A72965
CA
207RP1001X
Pulmonary Disease Physician
Primary
A72965
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A729650
—
CA
Enumeration date
07/26/2006
Last updated
05/01/2019
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