Individual
DR. TOMMY YOUNGHO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, A 108, LOMA LINDA, CA 92354-2804
(909) 558-4000
Mailing address
11234 ANDERSON ST, A 108, LOMA LINDA, CA 92354-2804
(909) 558-4000
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
A74005
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Z72778
—
UT
Enumeration date
08/25/2005
Last updated
07/19/2010
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