Individual
BENJAMIN KIM-WAKAMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOAG DRIVE, NEWPORT BEACH, CA 92658-6100
(949) 764-5689
Mailing address
1 HOAG DRIVE, POB 6100-ED, NEWPORT BEACH, CA 92658-6100
(949) 764-5689
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A89026
CA
Other
Enumeration date
01/08/2007
Last updated
12/14/2021
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