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1433 W Merced Ave Suit #311 West Covina CA 91790-3402 | |
| (626) 960-3066 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1433 W Merced Ave, West Covina, California |
| Authorized Official Name and Position | John S. Kim (PRESIDENT) |
| Authorized Official Contact | 5624027622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
11911 Artesia Blvd Suit #101 Cerritos CA 90701-4065 Ph: (562) 402-7622 | 1433 W Merced Ave Suit #311 West Covina CA 91790-3402 Ph: (626) 960-3066 |
| NPI Number | 1780004010 |
|---|---|
| Provider Enumeration Date | 04/25/2014 |
| Last Update Date | 04/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780004010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G66684 (California) | Primary |
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