Ilkyoon Kim Md A Prof Corp

  • 1659516094 NPI Number
  • |
  • Actived: 15 years ago
  • |
Ilkyoon Kim Md A Prof Corp is a health care provider based in Clearlake, CA. The NPI Number is 1659516094 and it has been active since 15 years ago. The specialty is Exclusive Provider Organization, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Exclusive Provider Organization services, Ilkyoon Kim Md A Prof Corp is an excellent option. We are here to help you get the care you need.

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Overview of Ilkyoon Kim Md A Prof Corp

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 12/15/2008
  • Last updated: 04/12/2013

Primary Scrop of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: A-34081
  • License State: CA

Provider Mailing Address

  • Address: 15666 18th Ave
    P.o. Box 5326
    Clearlake, CA 95422
  • Phone: 707-994-4210
  • Fax: 707-994-0839

Provider Practice Location

  • Address: 15666 18th Ave
    Clearlake, CA 95422
  • Phone: 707-994-4210
  • Fax: 707-994-0839

Authorized Official

  • Name: DR. Ilkyoon Kim MD
  • Position/Title: Ceo
  • Telephone Number: 707-994-4210

Scope of Practice

  • Taxonomy Code: 302F00000X
  • Specialty: Exclusive Provider Organization
  • License Number: A-34081
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 00A340810
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Ilkyoon Kim Md A Prof Corp?
  • A: The npi number for Ilkyoon Kim Md A Prof Corp is 1659516094.
  • Q: What are Ilkyoon Kim Md A Prof Corp's specialties?
  • A: Ilkyoon Kim Md A Prof Corp's specialties are Exclusive Provider Organization and different specialities.
  • Q: Where is Ilkyoon Kim Md A Prof Corp business practice location?
  • A: Ilkyoon Kim Md A Prof Corp business practice location is 15666 18th Ave, Clearlake, CA 95422.
  • Q: How to contact Ilkyoon Kim Md A Prof Corp?
  • A: You can contact Ilkyoon Kim Md A Prof Corp via 707-994-4210.
  • Q: What is the authorized official for Ilkyoon Kim Md A Prof Corp?
  • A: The authorized office name is DR. Ilkyoon Kim MD with position/title is Ceo and you can reach the authorized official via phone number 7079944210.
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