person
Dr. Ilkyoon Kim, MD
Cardiovascular Disease Physician in Clearlake, California
NPI 1154434728

Ilkyoon Kim is a Cardiovascular Disease Physician based in Clearlake, CA and is specialized in Cardiovascular Disease. Ilkyoon Kim practices in Clearlake, CA and has the professional credentials of MD. The NPI Number for Ilkyoon Kim is 1154434728 and holds a License No. A34081 (California).

The current practice location address for Ilkyoon Kim is 15666 18Th Avenue, Clearlake, CA and can be reached out via phone at 707-994-4210 and via fax at 707-994-0839.

Location: 15666 18Th Avenue, Clearlake, CA, 95422-5326
person
Provider Profile Details
NPI Number
1154434728
Provider Name
Ilkyoon Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
15666 18Th Avenue, Clearlake, CA, 95422-5326
Phone Number
707-994-4210
Fax Number
707-994-0839
Provider Enumeration Date
08/16/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A34081 01 CA LICENSE NUMBER
00A340810 05 CA
68-0068216 01 BLUE CROSS
00A340812 01 CA BLUE SHIELD
00A340811 01 CA BLUE SHIELD
00A340811 05 CA
institution
Provider Business Practice Location Address Details
Address
15666 18Th Avenue
City
State
Zip
95422
Phone Number
707-994-4210
Fax Number
707-994-0839
person
Provider Business Mailing Address Details
Address
15666 18Th Avenue
City
State
Zip
95422
Phone Number
707-994-4210
Fax Number
707-994-0839
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
License No.
A34081 (California)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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