Individual
MR. JIN TAEK KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
JIN KIM PA-C
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 353-2954
Mailing address
25 MIWOK WAY, MILL VALLEY, CA 94941-2593
(415) 383-0917
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA18112
CA
Other
Enumeration date
01/30/2007
Last updated
02/11/2022
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