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1255919197
JEONG HWAN JAKE KIM
THOUSAND OAKS, CA
NPI
1255919197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-31
Last Update Date
2021-03-31
Business Address
Dr. JEONG HWAN JAKE KIM MD
215 W JANSS RD
THOUSAND OAKS, CA 91360-1847
Phone number: 805-497-2727
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Mailing Address
Dr. JEONG HWAN JAKE KIM MD
2124 LYANS DR
LA CANADA FLINTRIDGE, CA 91011-1539
Phone number: 661-964-8344
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