NPI | 1700072550 |
---|---|
Doing Business As | KIM MEDICAL GROUP |
Entity Type | Organization |
Authorized Contact | BANGSUN JUSTIN KIM President 949-552-8282 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2007-09-14 |
Last Update Date | 2007-09-14 |