| Kim Associates Medical Clinic, Inc. | |
|
1433 W Merced Ave Ste 217 West Covina CA 91790-3402 | |
| (626) 917-1924 | |
| (626) 337-8434 |
| Full Name | Kim Associates Medical Clinic, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1433 W Merced Ave Ste 217, West Covina, California |
| Authorized Official Name and Position | Jae M. Kim (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6269171924 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kim Associates Medical Clinic, Inc. 1433 W Merced Ave Ste 217 West Covina CA 91790-3402 Ph: (626) 917-1924 | Kim Associates Medical Clinic, Inc. 1433 W Merced Ave Ste 217 West Covina CA 91790-3402 Ph: (626) 917-1924 |
| NPI Number | 1275690927 |
|---|---|
| Provider Enumeration Date | 01/02/2007 |
| Last Update Date | 12/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275690927 | NPI | - | NPPES |
| 1689735953 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A38835 (California) | Primary |
| 208000000X | Pediatrics | A39454 (California) | Secondary |
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