Search › California › 390200000X
Jae Kim
NPI 1659955573 · on the registry since 2021 · sole proprietor
Practice
- Address
- 5427 Warren Ridge Dr
Bakersfield, CA 93313 - Phone
- (510) 214-2558
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Also registered as
- 163WE0003X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-06
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