Organization
JEANNIE KIM MD A PROFESSIONAL CORPORATION
Active
Organization
JEANNIE KIM MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE G KIM MD (PRESIDENT)
(858) 699-0669
Entity
Organization
Contact information
Practice address
1201 S ORANGE AVE, EL CAJON, CA 92020-7521
(888) 657-1576
Mailing address
PO BOX 511419, LOS ANGELES, CA 90051-7974
(866) 284-2771
(800) 334-1041
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
A72965
CA
Other
Enumeration date
01/31/2017
Last updated
05/01/2019
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