Individual
DR. BRIAN A KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7115 GREENBACK LN FL 1, CITRUS HEIGHTS, CA 95621-6133
(916) 536-2442
(916) 536-2598
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A134093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A134093
MEDICAL STATE LICENSE
CA
Enumeration date
05/08/2013
Last updated
03/07/2023
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