Individual provider · Type 1 NPI
Kwan Soo Kim, MD
General Practice Physician · Loma Linda, CA
NPI number
1174803530
Active
Practice location
24261 Paulson Dr.
Loma Linda, CA 92354-4873
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | CFE52187 (CA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1174803530
Kwan Soo Kim, MD's National Provider Identifier is 1174803530, issued on Aug 17, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 17, 2011.