Myung Kim, MD
Anesthesiology in Modesto, CA. Individual provider (NPI-1).
NPI number1104842640
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1104842640
- Entity type
- Individual (NPI-1)
- Name
- Myung Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 15, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207L00000X | Anesthesiology | G81752 | CA | Yes |
Practice location
1441 Florida AveModesto, CA 95350-4405
Phone 209-578-1211
Mailing address
Po Box 28128Fresno, CA 93729-8128
Phone 559-436-0871 · Fax 559-436-5221
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