Individual
DAVID KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 WOODLAND RD, SAINT HELENA, CA 94574-9554
(707) 963-6399
Mailing address
260 WASHBURN ST, ANGWIN, CA 94508-9795
(707) 965-3689
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
MD11963
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
156443
UHA
HI
01
—
234146
HMSA - 65CP - HMSA QUEST
HI
05
—
50676901
—
HI
01
—
990176599679B093
TRICARE - CHAMPUS
HI
Enumeration date
07/24/2006
Last updated
07/08/2007
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