Individual provider · Type 1 NPI
Stanley Sooyoun Kim
Driver · Maricopa, CA
NPI number
1578065553
Active
Practice location
609 Hazelton St
Maricopa, CA 93252
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Driver Primary | 172A00000X | D5481793 (CA) |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1578065553
Stanley Sooyoun Kim's National Provider Identifier is 1578065553, issued on Mar 6, 2018. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Maricopa, CA. The record was last updated on Mar 6, 2018.