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Samuel Junwon Kim
Student in an Organized Health Care Education/Training Program in Corona, California
NPI 1861186165

Samuel Junwon Kim is a Student in an Organized Health Care Education/Training Program based in Corona, CA. Samuel Junwon Kim practices in Corona, CA. The NPI Number for Samuel Junwon Kim is 1861186165 and holds a License No. (California).

The current practice location address for Samuel Junwon Kim is 24072 Oakridge St, Corona, CA and can be reached out via phone at 714-906-1619.

Location: 24072 Oakridge St, Corona, CA, 92883-3612
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861186165
Provider Name
Samuel Junwon Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
24072 Oakridge St, Corona, CA, 92883-3612
Phone Number
714-906-1619
Fax Number
Provider Enumeration Date
06/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
24072 Oakridge St
City
Corona
State
California
Zip
92883-3612
Phone Number
714-906-1619
Fax Number
person
Provider Business Mailing Address Details
Address
24072 Oakridge St
City
Corona
State
California
Zip
92883-3612
Phone Number
714-906-1619
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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