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Dr. Jeong Hwan Jake Kim, MD
Student in an Organized Health Care Education/Training Program in Thousand Oaks, California
NPI 1255919197

Jeong Hwan Jake Kim is a Student in an Organized Health Care Education/Training Program based in La Canada Flintridge, CA. Jeong Hwan Jake Kim practices in Thousand Oaks, CA and has the professional credentials of MD. The NPI Number for Jeong Hwan Jake Kim is 1255919197 and holds a License No. (California).

The current practice location address for Jeong Hwan Jake Kim is 215 W Janss Rd, Thousand Oaks, CA and can be reached out via phone at 805-497-2727.

Location: 215 W Janss Rd, Thousand Oaks, CA, 91011-1539
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255919197
Provider Name
Jeong Hwan Jake Kim
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
215 W Janss Rd, Thousand Oaks, CA, 91011-1539
Phone Number
805-497-2727
Fax Number
Provider Enumeration Date
03/31/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-497-2727
Fax Number
person
Provider Business Mailing Address Details
Address
215 W Janss Rd
City
Thousand Oaks
State
California
Zip
91360-1847
Phone Number
805-497-2727
Fax Number
person
Provider's Taxonomy Details 1
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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