Edward Suk Im, MD
Internal Medicine in Fontana, CA. Individual provider (NPI-1).
NPI number1073661997
StatusActive
Last updated in NPPESDec 1, 2021
Details
- NPI
- 1073661997
- Entity type
- Individual (NPI-1)
- Name
- Edward Suk Im
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 8, 2007
- Last updated
- Dec 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | A83899 | CA | Yes |
Practice location
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
Mailing address
9961 Sierra AveFontana, CA 92335-6720
Phone 909-427-3910
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