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Contact Information

TAE EUNG JACK KIM MD A MEDICAL CORPORATION
800 MAIN STREET
CORONA, CA92882
 Phone: 951-737-4343
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for TAE EUNG JACK KIM MD A MEDICAL CORPORATION · (Female)

NPI # 1265141626
Status Active
Credentials
Entity Individual
Enumeration date 11/15/2022
Last updated 10/11/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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