Individual provider · NPI-1

Dr. Sean Youngjin Kim, M.D.

Surgery · Monterey Park, CA

NPI number1457630055
StatusActive
Last updated in NPPESDec 8, 2021

Details

NPI
1457630055
Entity type
Individual (NPI-1)
Name
Dr. Sean Youngjin Kim
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Aug 12, 2011
Certification date
Dec 8, 2021
Last updated
Dec 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208600000X SurgeryA123580CAYes

Practice location

600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170

Phone 626-573-8282 · Fax 626-573-8338

Mailing address

600 N Garfield Ave Ste 210
Monterey Park, CA 91754-1170

Phone 626-573-8282 · Fax 626-573-8338

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