1659516094 ILKYOON KIM MD A PROF CORP
Exclusive Provider Organization
Active
Basic Information
- Organization Name
- ILKYOON KIM MD A PROF CORP
- Enumeration Date
- December 15, 2008
- Last Update
- April 12, 2013
- Authorized Official
- DR. ILKYOON KIM MD
CEO
Phone: (707) 994-4210
Practice Location
- Address
- 15666 18TH AVE
CLEARLAKE, CA 954229336 - Phone
- (707) 994-4210
- Fax
- (707) 994-0839
Mailing Address
- Address
- 15666 18TH AVE
P.O. BOX 5326
CLEARLAKE, CA 954229336 - Phone
- (707) 994-4210
- Fax
- (707) 994-0839
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | Exclusive Provider Organization | A-34081 | CA | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A340810 | 05 | CA | N/A |
Frequently Asked Questions
What is ILKYOON KIM MD A PROF CORP's NPI number?
ILKYOON KIM MD A PROF CORP's NPI number is 1659516094.
Which doctor has NPI number 1659516094?
The doctor with NPI number 1659516094 is ILKYOON KIM MD A PROF CORP.
What is ILKYOON KIM MD A PROF CORP's practice address?
ILKYOON KIM MD A PROF CORP's practice address is 15666 18TH AVE, CLEARLAKE, CA, 954229336.
Which doctor practices at 15666 18TH AVE, CLEARLAKE, CA, 954229336?
ILKYOON KIM MD A PROF CORP practices at 15666 18TH AVE, CLEARLAKE, CA, 954229336.
What is ILKYOON KIM MD A PROF CORP's phone number?
ILKYOON KIM MD A PROF CORP's phone number is (707) 994-4210.
Who is (707) 994-4210?
(707) 994-4210 is the phone number for ILKYOON KIM MD A PROF CORP.
What is ILKYOON KIM MD A PROF CORP's specialty?
ILKYOON KIM MD A PROF CORP's specialty is Exclusive Provider Organization.
What type of doctor is ILKYOON KIM MD A PROF CORP?
ILKYOON KIM MD A PROF CORP is a Exclusive Provider Organization.
Is ILKYOON KIM MD A PROF CORP a Exclusive Provider Organization?
Yes, ILKYOON KIM MD A PROF CORP is a Exclusive Provider Organization.
Is ILKYOON KIM MD A PROF CORP still practicing?
Yes, ILKYOON KIM MD A PROF CORP is currently practicing.
Is ILKYOON KIM MD A PROF CORP accepting new patients?
ILKYOON KIM MD A PROF CORP may be accepting new patients. Please call their office at (707) 994-4210 to inquire about availability.
Is NPI 1659516094 still active?
Yes, NPI 1659516094 is currently active.
Where does ILKYOON KIM MD A PROF CORP practice?
ILKYOON KIM MD A PROF CORP practices in CLEARLAKE, CA.