Organization
PREVI MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL H KIM M.D. (MEDICAL DIRECTOR)
(925) 288-0828
Entity
Organization
Contact information
Practice address
1776 YGNACIO VALLEY RD, SUITE #201, WALNUT CREEK, CA 94598-3190
(925) 288-0828
(925) 288-0828
Mailing address
1776 YGNACIO VALLEY RD, SUITE #201, WALNUT CREEK, CA 94598-3190
(925) 288-0828
(925) 288-0829
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
G86124
CA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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