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JONGJIN KIM M.D.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1356605836

Individual Registrant:
 JONGJIN  KIM M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
476 E. WASHINGTON  EARLIMART, CA 93219-9694 US
Tel: 661-849-2781  Fax: 661-849-5719

Contact information for business:
145 VERSAILLES CIR APT D  TOWSON, MD 21204-6933 US
Tel: 443-862-6573  Fax: --

Registration Information:
NPI: 1356605836
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CAA133928

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAREN/AMD01
N/AMD05




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