Organization
EXCEL SPINE CENTER A CALIFORNIA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHOLL WAN KIM MD, PHD (OWNER)
(619) 344-6918
Entity
Organization
Contact information
Practice address
6719 ALVARADO RD STE 304, SAN DIEGO, CA 92120-5265
(619) 344-6918
Mailing address
6719 ALVARADO RD STE 304, SAN DIEGO, CA 92120-5265
(619) 344-6918
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
12/12/2022
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