Individual
PAUL SEUNG KI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1950 S SUNWEST LN, STE 108, SAN BERNARDINO, CA 92408-3263
(909) 521-8818
(909) 521-9854
Mailing address
1950 S SUNWEST LN, STE 108, SAN BERNARDINO, CA 92408-3263
(909) 521-8818
(909) 521-9854
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A114242
CA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
A114242
CA
2083X0100X
Occupational Medicine Physician
A114242
CA
208D00000X
General Practice Physician
A114242
CA
Other
Enumeration date
04/01/2009
Last updated
06/11/2023
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