Individual provider · Type 1 NPI
Sam Yong Kim, IDC
Independent Duty Corpsman · Camp Pendleton, AE
Practice location
Box 555697
Camp Pendleton, AE 92055
Mailing address
9115 Dillon Dr
La Mesa, CA 91941-4230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Independent Duty Corpsman Primary | 1710I1002X | None listed |
Independent Duty Corpsman: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and othe…
About NPI 1114122645
Sam Yong Kim, IDC's National Provider Identifier is 1114122645, issued on Jun 15, 2007. The primary taxonomy on file is Independent Duty Corpsman (1710I1002X), and the practice location is in Camp Pendleton, AE. The record was last updated on Jul 8, 2007.