Dr. Jaehwan Kim, M.D.
Internal Medicine in Sacramento, CA. Individual provider (NPI-1).
NPI number1952764458
StatusActive
Last updated in NPPESFeb 26, 2022
Details
- NPI
- 1952764458
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jaehwan Kim
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 1, 2016
- Certification date
- Feb 26, 2022
- Last updated
- Feb 26, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | C175700 | CA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 207R00000X | Internal Medicine | 279269 | NY |
Practice location
3301 C St Ste 1400Sacramento, CA 95816-3367
Phone 916-551-2621 · Fax 916-319-7042
Mailing address
3301 C St Ste 1400Sacramento, CA 95816-3367
Phone 916-551-2621 · Fax 916-319-7042
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