Organization
JENNIFER Y. KIM MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER KIM M.D. (PHYSICIAN, CEO)
(909) 608-0855
Entity
Organization
Contact information
Practice address
360 E 7TH ST STE M, UPLAND, CA 91786-6701
(909) 608-0855
Mailing address
360 E 7TH ST STE M, UPLAND, CA 91786-6701
(909) 608-0855
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A75250
CA
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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