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Jae Yoon Kim
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1013595107

Jae Yoon Kim is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Jae Yoon Kim practices in Vallejo, CA. The NPI Number for Jae Yoon Kim is 1013595107 and holds a License No. (California).

The current practice location address for Jae Yoon Kim is 975 Sereno Dr, Vallejo, CA and can be reached out via phone at 707-312-0803.

Location: 975 Sereno Dr, Vallejo, CA, 94589-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013595107
Provider Name
Jae Yoon Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
975 Sereno Dr, Vallejo, CA, 94589-2441
Phone Number
707-312-0803
Fax Number
Provider Enumeration Date
03/30/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-312-0803
Fax Number
person
Provider Business Mailing Address Details
Address
975 Sereno Dr
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-312-0803
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Podiatric
Taxonomy
261QP1100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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