Individual
GARY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LIEUTENANT
Contact information
Practice address
201 GLENWOOD CIR APT 33B, MONTEREY, CA 93940-6738
(310) 408-0727
Mailing address
201 GLENWOOD CIR APT 33B, MONTEREY, CA 93940-6738
(310) 408-0727
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
—
CA
Other
Enumeration date
03/04/2013
Last updated
03/04/2013
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