Individual
PAUL JAEGU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 W ARBOR DR, SAN DIEGO, CA 92103-9000
(858) 657-8530
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410
Taxonomy
Speciality
Code
Description
License number
State
207RA0001X
Advanced Heart Failure and Transplant Cardiology Physician
Primary
A109213
CA
207RC0000X
Cardiovascular Disease Physician
A109213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A869820
—
CA
Enumeration date
08/27/2008
Last updated
10/03/2017
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