| John J Kim Md Inc | |
|
629 N 13th Ave Upland CA 91786-4906 | |
| (909) 981-8905 | |
| (909) 982-8051 |
| Full Name | John J Kim Md Inc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 629 N 13th Ave, Upland, California |
| Authorized Official Name and Position | John J. Kim (PRESIDENT) |
| Authorized Official Contact | 9099818905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John J Kim Md Inc 629 N 13th Ave Upland CA 91786-4906 Ph: (909) 981-8905 | John J Kim Md Inc 629 N 13th Ave Upland CA 91786-4906 Ph: (909) 981-8905 |
| NPI Number | 1003018755 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 06/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003018755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | A29493 (California) | Primary |
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