Individual
JOHN JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Mailing address
1900 E WASHINGTON ST, COLTON, CA 92324-4614
(909) 825-3425
(909) 825-6991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A111549
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508050220
—
CA
Enumeration date
09/06/2007
Last updated
04/14/2014
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