Individual
DR. JOHN C KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36320 INLAND VALLEY DR, STE 101, WILDOMAR, CA 92595-7512
(951) 600-3811
(951) 600-4493
Mailing address
DEPT LA 21693, PASADENA, CA 91185-1693
(858) 564-1400
(858) 564-1500
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G85023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G850230
BCBS
CA
05
—
00G850230
—
CA
Enumeration date
05/16/2006
Last updated
05/15/2008
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