Individual
DR. JERRY J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 VINTON AVE STE 202, POMONA, CA 91767-3000
(909) 909-1148
(909) 363-4954
Mailing address
350 VINTON AVE STE 202, POMONA, CA 91767-3000
(909) 973-1148
(909) 363-4954
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A124130
CA
2086S0129X
Vascular Surgery Physician
Primary
A124130
CA
Other
Enumeration date
07/16/2011
Last updated
08/01/2023
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