ILKYOON KIM MD A PROF CORP

CLEARLAKE, CA
NPI1659516094
Doing Business AsSAME
Entity TypeOrganization
Authorized ContactILKYOON KIM
CEO
707-994-4210
Organization Subpart ?Yes
Primary Taxonomy302F00000X Exclusive Provider Organization
(Licence: CA  A-34081)
Enumeration Date2008-12-15
Last Update Date2013-04-12
Business Address
ILKYOON KIM MD A PROF CORP
15666 18TH AVE
CLEARLAKE, CA 95422-9336
Phone number: 707-994-4210
Mailing Address
ILKYOON KIM MD A PROF CORP
15666 18TH AVE P.O. BOX 5326
CLEARLAKE, CA 95422-9336
Phone number: 707-994-4210