Individual
BOOIL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
(909) 481-7345
Mailing address
9405 FAIRWAY VIEW PL, RANCHO CUCAMONGA, CA 91730-0932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
20A14985
CA
208D00000X
General Practice Physician
Primary
20A14985
CA
Other
Enumeration date
03/25/2015
Last updated
07/06/2023
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