Jong G Kim M.d. a Medical Corporation

NPI #1225199201 in Diamond Bar, California

Provider Information

NPI Number: 1225199201
Entity Type: Organization
Organization Name: Jong G Kim M.d. a Medical Corporation
Primary Specialty: Specialist
Enumeration Date: Dec 13, 2006
Last Updated: Dec 21, 2017

Practice Location

Address: 414 S PROSPECTORS RD
Address 2: SUITE B
City: Diamond Bar
State: California
ZIP Code: 91765-1615
Phone: (909) 860-0606

Authorized Official

Name: DR. JONG G. KIM, M.D.
Title: PHYSICIAN
Phone: (909) 860-0606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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