Individual
BRIAN S KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(650) 400-0531
Mailing address
700 LAWRENCE EXPY, SANTA CLARA, CA 95051-5173
(650) 400-0531
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A92254
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A922540
BC/BS
CA
05
—
1881881787
—
CA
Enumeration date
09/25/2007
Last updated
09/10/2012
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