Individual
PAUL JUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S M.D.
Contact information
Practice address
4448 E VILLAGE RD, LONG BEACH, CA 90808-1540
(415) 816-7749
Mailing address
5119 MOLINO, IRVINE, CA 92618-4832
(415) 816-7749
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
64716
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/09/2015
Last updated
07/28/2022
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