Search › California › 183500000X
Jintae Kim
NPI 1831645357 · on the registry since 2016 · sole proprietor
Practice
- Address
- 2655 Santa Ana St
South Gate, CA 90280 - Phone
- (323) 582-5601
- Fax
- (323) 582-6051
- Organisation at this address
- Garfield Beach Cvs Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-08-26
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