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ALBERT KIM D.O. A PROFESSIONAL MEDICAL CORPORATION NPI 1780740373


NPI Information

NPI: 1780740373
Provider Name: ALBERT KIM D.O., A PROFESSIONAL MEDICAL CORPORATION
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1749 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762
Phone: (909) 983-0027
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ALBERT KIM D.O., A PROFESSIONAL MEDICAL CORPORATION is a family medicine in Ontario, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ALBERT KIM D.O., A PROFESSIONAL MEDICAL CORPORATION NPI is 1780740373. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1749 S EUCLID AVE STE A
ONTARIO, CA
ZIP 91762-832
Phone: (909) 983-0027
Fax: (909) 984-1220

The provider's authorized official is Albert I Kim .
The authorized official title is President Ceo and has the following contact phone number (909) 983-0027.

The enumeration date for this NPI number is 12/28/2006 and was last updated on 1/7/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine020A73903CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100AX73900MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2020A73903MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3H41694MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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