Individual
IVAN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2875 SHEFFIELD RD, SAN MARINO, CA 91108-3029
(909) 725-1135
Mailing address
2875 SHEFFIELD RD, SAN MARINO, CA 91108-3029
(909) 725-1135
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
A116735
CA
Other
Enumeration date
06/30/2008
Last updated
12/08/2021
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