Individual
JOHN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9525 MONTE VISTA AVE STE 105, MONTCLAIR, CA 91763-2231
(909) 626-1205
Mailing address
9525 MONTE VISTA AVE STE 105, MONTCLAIR, CA 91763-2231
(909) 626-1205
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
20A16333
CA
Other
Enumeration date
05/26/2010
Last updated
07/26/2021
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