Kim, John C

Kim, John C is an individual health care provider with primary practice located at 36320 Inland Valley Dr Ste 101, Wildomar CA 92595-7512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Kim, John C can be contacted via phone (951) 600-3811.

Contact Information

Primary practice address
36320 Inland Valley Dr Ste 101 Wildomar CA 92595-7512
Phone: (951) 600-3811
Fax: (951) 600-4493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X G85023 California

Profile Details

NPI number 1548212921
LBN Legal business name Kim, John C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 15th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548212921 NPPES
California MEDICAID 00G850230
California Other 00G850230

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