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Daniel Youngjoo Kim
Student in an Organized Health Care Education/Training Program in Vallejo, California
NPI 1558004846

Daniel Youngjoo Kim is a Student in an Organized Health Care Education/Training Program based in Vallejo, CA. Daniel Youngjoo Kim practices in Vallejo, CA. The NPI Number for Daniel Youngjoo Kim is 1558004846 and holds a License No. (California).

The current practice location address for Daniel Youngjoo Kim is 975 Sereno Dr., Vallejo, CA and can be reached out via phone at 707-651-4071.

Location: 975 Sereno Dr., Vallejo, CA, 94589
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558004846
Provider Name
Daniel Youngjoo Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
975 Sereno Dr., Vallejo, CA, 94589
Phone Number
707-651-4071
Fax Number
Provider Enumeration Date
04/15/2022
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
707-651-4071
Fax Number
person
Provider Business Mailing Address Details
Address
975 Sereno Dr.
City
Vallejo
State
California
Zip
94589-2441
Phone Number
707-651-4071
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.
(California)
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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