John Hwan Kim Evergreen Medical Group in Rowland Heights - Specialist

John Hwan Kim Evergreen Medical Group - NPI 1376553651

John Hwan Kim Evergreen Medical Group is a Specialist in Rowland Heights, California. John Hwan Kim Evergreen Medical Group practices all healthcare services and medical treatments related to Specialist. The NPI Number for John Hwan Kim Evergreen Medical Group is 1376553651. The last update date is 2020-08-22.

John Hwan Kim Evergreen Medical Group's current location address is 18555 Farjardo Street, Rowland Heights, California. You can contact this provider via phone number 6268311149. The mailing address for John Hwan Kim Evergreen Medical Group is 18555 Farjardo Street, Rowland Heights, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization John Hwan Kim Evergreen Medical Group
Address 18555 Farjardo Street, Rowland Heights, California
Phone Number 6268311149
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kim John
Telephone Number 6268311149

NPI Number Detail

NPI Number 1376553651
Provider Enumeration Date 2006-08-09
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 18555 Farjardo Street
City Rowland Heights
State California (CA)
Post Code 917484634
Phone Number 6268311149
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No PT14527
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
WPT14527A CA PPIN

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FAQs about John Hwan Kim Evergreen Medical Group

What is the John Hwan Kim Evergreen Medical Group's unique identification number?

The John Hwan Kim Evergreen Medical Group has been assigned the NPI (National Provider Identifier) Number 1376553651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of John Hwan Kim Evergreen Medical Group?

The John Hwan Kim Evergreen Medical Group is physically situated at 18555 Farjardo Street, in the city of Rowland Heights, state of CA, with the postal code 917484634.

What is John Hwan Kim Evergreen Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John Hwan Kim Evergreen Medical Group is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

When did John Hwan Kim Evergreen Medical Group receive its 1376553651 assignment?

The John Hwan Kim Evergreen Medical Group was assigned its 1376553651 on 2006-08-09, which is the date when this unique identifier was issued to the organization.

When was the John Hwan Kim Evergreen Medical Group's information last updated?

The John Hwan Kim Evergreen Medical Group's information was last updated on 2020-08-22.

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