Individual
JUSTIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7105 N LA CHOLLA BLVD, TUCSON, AZ 85741-3112
(520) 547-0611
Mailing address
19671 YOSEMITE CIR, NORTHRIDGE, CA 91326-4117
(818) 378-6745
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
012052
AZ
Other
Enumeration date
03/30/2022
Last updated
11/26/2025
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