JIN TAE KIM

RICHMOND, VA
NPI1689791493
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: VA  0101245471)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: CA  A73178)
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  M5291)
Enumeration Date2007-03-25
Last Update Date2011-07-22
Business Address
-- JIN TAE KIM M.D.
1250 E MARSHALL ST RADIOLOGY
RICHMOND, VA 23298-5051
Phone number: 804-628-3580
Mailing Address
-- JIN TAE KIM M.D.
8599 HAVEN AVE. SUITE 300
RANCHO CUCAMONGA, CA 91730-4849
Phone number: 909-620-8180