Individual
CALEB D KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
24415 PENROSE CT, DIAMOND BAR, CA 91765-4350
(951) 739-3599
Mailing address
24415 PENROSE CT, DIAMOND BAR, CA 91765-4350
(951) 739-3599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
46434
CA
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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