Individual
DR. DAVID S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2110 N BELLFLOWER BLVD, LONG BEACH, CA 90815-3126
(562) 346-2222
Mailing address
17360 BROOKHURST ST, ATTN: MCMF CREDENTIALING DEPARTMENT, FOUNTAIN VALLEY, CA 92708-3720
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A87971
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A879710
—
CA
Enumeration date
10/28/2005
Last updated
01/12/2016
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