Whalio Doctors

NPI 1023147014

Jae Yul Kim, MD

Practitioner Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Duarte, CA

Practice location

Address
1500 Duarte Rd, Duarte, CA 91010-3012
Phone
(626) 256-4673
Mailing address
PO Box 512185, Los Angeles, CA 90051-0185

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence A85288 (CA)

Registry record

NPI
1023147014
Entity type
Individual
Sex (as registered)
Male
NPI issued
5 Mar 2007
Record last updated
9 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.