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Search › California › 207L00000X

Ivan Kim, MD, MA

NPI 1477132173 · on the registry since 2021

Practice

Address
11234 Anderson St
Loma Linda, CA 92354
Phone
(909) 558-4015
Organisation at this address
Faculty Medical Group Of Llusm
Faculty Medical Group Of Llusm
Loma Linda University Medical Center
Loma Linda University Medical Center
Loma Linda University Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,988

Registry record

Primary taxonomy
207L00000X
207L00000X
Also registered as
390200000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-06-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California