Sam Yong Kim in La Mesa - Independent Duty Corpsman
Sam Yong Kim - NPI 1114122645
Sam Yong Kim is a Independent Duty Corpsman in La Mesa, California. Sam Yong Kim practices all healthcare services and medical treatments related to Independent Duty Corpsman. The NPI Number for Sam Yong Kim is 1114122645. The last update date is 2007-07-08.
Sam Yong Kim's current location address is 9115 Dillon Dr, La Mesa, California. You can contact this provider via phone number 6199618745. The mailing address for Sam Yong Kim is 9115 Dillon Dr, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sam Yong Kim |
|---|---|
| Address | 9115 Dillon Dr, La Mesa, California |
| Phone Number | 6199618745 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | IDC |
NPI Number Detail
| NPI Number | 1114122645 |
|---|---|
| Provider Enumeration Date | 2007-06-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9115 Dillon Dr |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919414230 |
| Phone Number | 6199618745 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Independent Duty Corpsman |
|---|---|
| Taxonomy | 1710I1002X |
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Definition: A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a v |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Sam Yong Kim by the Centers for Medicare & Medicaid Services?
The Sam Yong Kim has been issued the NPI (National Provider Identifier) 1114122645, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Sam Yong Kim is located?
The Sam Yong Kim is situated at the following address: 9115 Dillon Dr, La Mesa, CA, 919414230.
What is Sam Yong Kim's specialized field of practice, and what is the corresponding taxonomy classification code?
The Sam Yong Kim's area of specialization is Independent Duty Corpsman, and the corresponding taxonomy code that categorizes this field of practice is 1710I1002X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1114122645 to Sam Yong Kim?
The Centers for Medicare & Medicaid Services originally issued the 1114122645 to Sam Yong Kim on 2007-06-15.
As of what date were the details related to Sam Yong Kim most recently updated or revised?
The information pertaining to Sam Yong Kim, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1336142389
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