NPI 1174803530

Kwan Soo Kim, MD

Practitioner General Practice Physician Loma Linda, CA

Practice location

Address: 24261 Paulson Dr., Loma Linda, CA 92354-4873
Phone: (909) 796-5251
Mailing address: 24261 Paulson Dr., Loma Linda, CA 92354

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence CFE52187 (CA)

Other General Practice providers in California →

Registry record

NPI: 1174803530
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2011
Record last updated: 17 Aug 2011

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.