Individual
CLEMENT CHANGBUM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26357 MCBEAN PKWY, VALENCIA, CA 91355-4488
(661) 222-2658
(661) 222-2663
Mailing address
PO BOX 9602, MISSION HILLS, CA 91346-9602
(818) 837-5637
(818) 837-5589
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A64821
CA
208000000X
Pediatrics Physician
A64821
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A648210
—
CA
Enumeration date
08/16/2006
Last updated
12/15/2021
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