Individual
JIENSUP KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 E WASHINGTON ST, SUITE 100A, COLTON, CA 92324-7111
(909) 370-0300
(909) 370-0303
Mailing address
PO BOX 71, REDLANDS, CA 92373-0021
(909) 370-0300
(909) 370-0303
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G75806
CA
Other
Enumeration date
04/03/2006
Last updated
03/24/2011
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