Individual
DR. DAVID SHIN YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-5153
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-5153
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A90036
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A90036
CA
Other
Enumeration date
05/16/2007
Last updated
05/10/2012
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