NPI 1295763423 SOO Y KIM M.D. LOMA LINDA CA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Soo Y Kim - NPI: 1295763423

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: SOO Y KIM
NPI Number: 1295763423
Entity Type Code: Individual (1)
Gender: F
Credentials: M.D.
License Number: A61217
Business Practice Address: 11401 Heacock St
Suite 330 Moreno Valley, CA - 925577908
Business Phone Number: 9512478697
Business Fax Number: 9512430513
Mailing Address: 11175 Campus St., Coleman Pavillion A1121
LOMA LINDA
State: CA
Postal Code: 923540001
Phone Number: 9095584715
Fax Number: 9095584184
NPI Enumeration Date: 06/28/2006
NPI Last Update Date: 07/08/2007
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208000000X
License Number: A61217
Healthcare Provider Taxonomy:
(Secondary)
Y
State: CA
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Pediatrics
Taxonomy Specialization:
Taxonomy Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


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