Individual
ERIC DAEHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
20000 HARVARD AVE, ATN: DEB MARTI, GME, WARRENSVILLE HEIGHTS, OH 44122-6805
(858) 344-9770
Mailing address
1048 GEDDY WAY, FREMONT, CA 94539-5946
(858) 344-9770
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
20A18222
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
20A18222
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2016
Last updated
10/25/2021
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