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1407533482
SIMON J KIM
LONG BEACH, CA
NPI
1407533482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
SIMON J KIM DO
2776 PACIFIC AVE
LONG BEACH, CA 90806-2613
Phone number: 562-997-2000
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Mailing Address
SIMON J KIM DO
1923 PEPPERDALE DR
ROWLAND HEIGHTS, CA 91748-3225
Phone number: 626-221-7277
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