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Jiensup Kim, M.d. Inc.
Specialist in Redlands, California
NPI 1982775524

Jiensup Kim, M.d. Inc. is a Specialist based in Redlands, CA. Jiensup Kim, M.d. Inc. practices in Redlands, CA. The NPI Number for Jiensup Kim, M.d. Inc. is 1982775524 and holds a License No. G75806 (California).

The current practice location address for Jiensup Kim, M.d. Inc. is 10431 Commerce St, Redlands, CA and can be reached out via phone at 909-796-7700 and via fax at 909-796-4383.

Location: 10431 Commerce St, Redlands, CA, 92373-0021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982775524
Provider Name
Jiensup Kim, M.d. Inc.
Credential
Provider Entity Type
Organization
Address
10431 Commerce St, Redlands, CA, 92373-0021
Phone Number
909-796-7700
Fax Number
909-796-4383
Provider Enumeration Date
11/13/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1639131154 01 CA INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
10431 Commerce St
City
Redlands
State
California
Zip
92374-2833
Phone Number
909-796-7700
Fax Number
909-796-4383
person
Provider Business Mailing Address Details
Address
10431 Commerce St
City
Redlands
State
California
Zip
92374-2833
Phone Number
909-796-7700
Fax Number
909-796-4383
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G75806 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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