Individual
JORGE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7230
(510) 895-4231
Mailing address
15400 FOOTHILL BLVD, SAN LEANDRO, CA 94578-1009
(510) 895-7230
(510) 895-4231
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A109844
CA
Other
Enumeration date
06/05/2008
Last updated
09/15/2022
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