Search › California › 1223G0001X
John Kim
NPI 1831556117 · on the registry since 2016
Practice
- Address
- 1080 Jones St Apt 411
Berkeley, CA 94710 - Phone
- (626) 644-3614
- Clinicians at this address
- 2
Additional practice sites
- 10011 Bridgeport Way Sw, Lakewood, WA
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Also registered as
- 122300000X
- Licence states on file
- WA, CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-06
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