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DR. JUNGMEE KIM M.D.

Allergy

La Mirada, California

Provider NPI: 1669465225

Provider Information:
DR. JUNGMEE  KIM M.D.


Practice Location:
15040 IMPERIAL HWY  LA MIRADA, CA 90638 US
Tel: 562-902-1014  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
CAA046017
N207KA0200XPhysicians
Allergy & Immunology
CAA046017
N207RA0201XPhysicians
Internal Medicine
CAA046017

Other Provider Identifiers:

IssuerNumberStateType
TAX ID #953063755CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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