Organization
JI HEE KIM DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JI HEE KIM DPM (PRESIDENT)
(510) 703-9837
Entity
Organization
Contact information
Practice address
365 HAWTHORNE AVE STE 202, OAKLAND, CA 94609-3114
(510) 703-9837
Mailing address
365 HAWTHORNE AVE STE 202, OAKLAND, CA 94609-3114
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
12/01/2021
Last updated
03/14/2024
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