Individual
JONATHAN KILTAI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5225 CANYON CREST DR, BLDG. 100, SUITE 103, RIVERSIDE, CA 92507-6301
(951) 248-4000
Mailing address
5225 CANYON CREST DR, BLDG. 100, SUITE 103, RIVERSIDE, CA 92507-6301
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
C138566
CA
Other
Enumeration date
03/13/2009
Last updated
12/03/2021
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