Individual
DR. KI-YOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4060 FOURTH AVENUE, SUITE 240, SAN DIEGO, CA 92103
(619) 291-6064
Mailing address
4060 FOURTH AVE STE 240, SAN DIEGO, CA 92103-2120
(619) 291-6064
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
315245
NY
207RG0100X
Gastroenterology Physician
Primary
A151164
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
KK3232267556
—
CA
Enumeration date
04/20/2016
Last updated
07/11/2025
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