Jiensup Kim MD a Professional Corporation
NPI #1306183835 in Colton, California
Provider Information
- NPI Number
- 1306183835
- Entity Type
- Organization
- Organization Name
- Jiensup Kim MD a Professional Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 3, 2013
- Last Updated
- Feb 20, 2013
Practice Location
- Address
- 900 E WASHINGTON ST
- Address 2
- SUITE 100A
- City
- Colton
- State
- California
- ZIP Code
- 92324-4120
- Phone
- (909) 370-0300
Authorized Official
- Name
- DR. JIENSUP KIM, MD
- Title
- PRESIDENT
- Phone
- (909) 370-0300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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