Individual
DR. BRIAN KAP-SOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 L STREET, SUITE 300, SACRAMENTO, CA 95816-7098
(916) 453-3300
(916) 453-3313
Mailing address
10470 OLD PLACERVILLE RD, SUITE 100, SACRAMENTO, CA 95827-2539
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G88900
CA
207R00000X
Internal Medicine Physician
MD00044497
WA
207RH0000X
Hematology (Internal Medicine) Physician
MD00044497
WA
207RH0003X
Hematology & Oncology Physician
Primary
G88900
CA
207RX0202X
Medical Oncology Physician
MD00044497
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
193335
LABOR & INDUSTRIES
WA
01
—
3733057
AETNA
—
01
—
5339KI
REGENCE BLUE SHIELD
—
01
—
5596153
AETNA
—
05
—
8416448
—
WA
01
—
P00185603
RAILROAD MEDICARE
—
Enumeration date
06/05/2006
Last updated
03/07/2023
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