Individual
MR. DAVID DAE-YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19950 RINALDI ST, SUITE 310, PORT RANCH, CA 91326
(818) 271-2500
(818) 271-2501
Mailing address
19950 RINALDI ST, SUITE 310, PORTER RANCH, CA 91326
(818) 271-2500
(818) 271-2501
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
A91389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558505321
—
CA
05
—
1902108293
—
CA
Enumeration date
04/24/2009
Last updated
11/13/2020
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