Individual provider · Type 1 NPI

Alex Kim, MD

Student in an Organized Health Care Education/Training Program · Moreno Valley, CA

NPI number 1912748153 Active

Practice location

26520 Cactus Ave Ste 201
Moreno Valley, CA 92555-3927

Call (951) 486-6575 Map

Fax (951) 486-5910

Mailing address

6233 Brisa Del Mar Dr
El Paso, TX 79912-1854

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1912748153

Alex Kim, MD's National Provider Identifier is 1912748153, issued on Jun 3, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Moreno Valley, CA. The record was last updated on Jun 3, 2024.