Organization
LA CATARINA HEALTN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YUNG TAE KIM M.D. (PRESIDENT)
(909) 482-1777
Entity
Organization
Contact information
Practice address
9625 MONTE VISTA AVE, MONTCLAIR, CA 91763-2234
(909) 482-1777
(909) 482-1780
Mailing address
9625 MONTE VISTA AVE, MONTCLAIR, CA 91763-2326
(909) 482-1777
(909) 482-1780
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/23/2010
Last updated
12/23/2010
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