Individual
ANDREW JEONG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1720 TERMINO AVE, LONG BEACH, CA 90804-2104
(562) 498-1000
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A62488
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A624880
—
CA
Enumeration date
12/21/2005
Last updated
07/13/2011
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