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Individual

DR. CHANG O. KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
80 GRAND AVE, 5TH FLOOR, OAKLAND, CA 94612-3725
(510) 451-6266
(510) 451-6260
Mailing address
80 GRAND AVE, 5TH FLOOR, OAKLAND, CA 94612-3725
(510) 451-6266
(510) 451-6260

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A82792
CA

Other

Enumeration date
11/20/2006
Last updated
12/02/2021
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