Individual
HYUNJOONG WILLIAM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT215077
PA
2085R0202X
Diagnostic Radiology Physician
304704
NY
2085R0202X
Diagnostic Radiology Physician
Primary
A185835
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100380268
—
CA
01
—
532689
ANTHEM BLUE CROSS
CA
Enumeration date
05/21/2018
Last updated
03/21/2024
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