Organization · Type 2 NPI

Jiensup Kim MD A Professional Corporation

Specialist · Colton, CA

NPI number 1306183835 Active

Practice location

900 E Washington St, Suite 100A
Colton, CA 92324-4120

Fax (909) 370-0303

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XG75806 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1306183835

Jiensup Kim MD A Professional Corporation's National Provider Identifier is 1306183835, issued on Jan 3, 2013. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Colton, CA. The record was last updated on Feb 20, 2013.