Individual
DR. PAUL EUIN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8352 CLAIREMONT MESA BLVD STE A, SAN DIEGO, CA 92111-1302
(619) 543-0144
(619) 543-0445
Mailing address
8352 CLAIREMONT MESA BLVD STE A, SAN DIEGO, CA 92111-1302
(619) 543-0144
(619) 543-0445
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A63939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6634690001
MEDICARE DME PTAN
CA
01
—
W18575
MEDICARE GROUP NUMBER
CA
01
—
W18575A
MEDICARE 2ND GROUP ID
CA
01
—
WA63939D
MEDICARE 2ND INDIVIDU ID
CA
Enumeration date
07/27/2006
Last updated
12/07/2023
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