Yong Ho Kim, M.d., Inc | |
3340 W Ball Rd Suite H Anaheim CA 92804-3729 | |
(714) 952-9413 | |
(714) 952-8581 |
Full Name | Yong Ho Kim, M.d., Inc |
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Speciality | Clinic/center - Primary Care |
Location | 3340 W Ball Rd, Anaheim, California |
Authorized Official Name and Position | Yong Ho Kim (PRESIDENT) |
Authorized Official Contact | 7149529413 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yong Ho Kim, M.d., Inc 3340 W Ball Rd Suite H Anaheim CA 92804-3729 Ph: (714) 952-9413 | Yong Ho Kim, M.d., Inc 3340 W Ball Rd Suite H Anaheim CA 92804-3729 Ph: (714) 952-9413 |
NPI Number | 1316970874 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 10/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316970874 | NPI | - | NPPES |
00A336650 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A33665 (California) | Primary |
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