institution
Jae M Kim Md
General Practice Physician in West Covina, California
NPI 1558530428

Jae M Kim Md is a General Practice Physician based in West Covina, CA. Jae M Kim Md practices in West Covina, CA. The NPI Number for Jae M Kim Md is 1558530428 and holds a License No. A38835 (California).

The current practice location address for Jae M Kim Md is 1433 W Merced Ave Ste 217, West Covina, CA and can be reached out via phone at 626-917-1924 and via fax at 626-337-9434.

Location: 1433 W Merced Ave Ste 217, West Covina, CA, 91790-3402
institution
Provider Profile Details
NPI Number
1558530428
Provider Name
Jae M Kim Md
Credential
Provider Entity Type
Organization
Address
1433 W Merced Ave Ste 217, West Covina, CA, 91790-3402
Phone Number
626-917-1924
Fax Number
626-337-9434
Provider Enumeration Date
02/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A383350 05 CA
institution
Provider Business Practice Location Address Details
Address
1433 W Merced Ave Ste 217
City
State
Zip
91790-3402
Phone Number
626-917-1924
Fax Number
626-337-9434
person
Provider Business Mailing Address Details
Address
1433 W Merced Ave Ste 217
City
State
Zip
91790-3402
Phone Number
626-917-1924
Fax Number
626-337-9434
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A38835 (California)
Definition
Definition to come...
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