Dr. Jerry J Kim, MD
in Pomona, CA. Individual provider (NPI-1).
NPI number1912295510
StatusActive
Last updated in NPPESAug 1, 2023
Details
- NPI
- 1912295510
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jerry J Kim
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2011
- Certification date
- Aug 1, 2023
- Last updated
- Aug 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | a124130 | CA | Yes | |
| 208600000X | Surgery | A124130 | CA |
Practice location
350 Vinton Ave Ste 202Pomona, CA 91767-3000
Phone 909-909-1148 · Fax 909-363-4954
Mailing address
350 Vinton Ave Ste 202Pomona, CA 91767-3000
Phone 909-973-1148 · Fax 909-363-4954
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