Organization
JAE M KIM MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WANG (BILLER)
(626) 536-7534
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE STE 217, WEST COVINA, CA 91790-3402
(626) 917-1924
(626) 337-9434
Mailing address
1433 W MERCED AVE STE 217, WEST COVINA, CA 91790-3402
(626) 917-1924
(626) 337-9434
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A38835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A383350
—
CA
Enumeration date
02/26/2008
Last updated
02/26/2008
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