DR. TOMMY YOUNGHO KIM M.D. NPI 1730172693

NPI Information

DR. Tommy Youngho Kim, M.D. is a pediatric emergency medicine pediatrics in Loma Linda, CA with 25 years of experience. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Tommy Youngho Kim, M.D. NPI is 1730172693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

11234 ANDERSON ST
A 108
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4000

The NPI 1730172693 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 7/19/2010.

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:

Other Identifiers

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

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