Provider / Organization | NPI | Date Certified |
---|---|---|
JOSHUA HO YOUNG KIM | 1104409747 | 2021-05-02 |
Joshua Ho Young Kim is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104409747. Registration indicates Joshua Ho Young Kim is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Dr. Joshua Ho Young Kim MD |
Practice Office Address | 1117 E DEVONSHIRE AVE HEMET, CA US |
Practice Office Telephone | 9516522811 |
Mailing Address | 2564 OCCIDENTAL CIR RIVERSIDE, CA 925072772 US |
Business Telephone | 9293432777 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |