Jin Tae Kim in Rancho Cucamonga - Diagnostic Radiology
Jin Tae Kim - NPI 1689791493
Jin Tae Kim is a Diagnostic Radiology in Rancho Cucamonga, California. Jin Tae Kim practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jin Tae Kim is 1689791493. The last update date is 2011-07-22.
Jin Tae Kim's current location address is 8599 Haven Ave., Rancho Cucamonga, California. You can contact this provider via phone number 9096208180 and fax number 9099197288. The mailing address for Jin Tae Kim is 8599 Haven Ave., Rancho Cucamonga, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jin Tae Kim |
|---|---|
| Address | 8599 Haven Ave., Rancho Cucamonga, California |
| Phone Number | 9096208180 |
| Fax Number | 9099197288 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1689791493 |
|---|---|
| Provider Enumeration Date | 2007-03-25 |
| Last Updated Date | 2011-07-22 |
Provider Mailing Address Detail
| Address | 8599 Haven Ave. |
|---|---|
| City | Rancho Cucamonga |
| State | California (CA) |
| Post Code | 917304849 |
| Phone Number | 9096208180 |
| Fax Number | 9099197288 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | A73178 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 195889402 | TX | -- | |
| 8BC330 | TX | BCBSTX (BLUE CROSS BLUE SHIELD | |
| 195889403 | TX | CSHCN |
Post Comment/ Review Below
What is the unique identification code assigned to Jin Tae Kim by the Centers for Medicare & Medicaid Services?
The Jin Tae Kim has been issued the NPI (National Provider Identifier) 1689791493. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jin Tae Kim?
The Jin Tae Kim is physically situated at 8599 Haven Ave., in the city of Rancho Cucamonga, state of CA, with the postal code 917304849.
What is the area of specialization for Jin Tae Kim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jin Tae Kim is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1689791493 to Jin Tae Kim?
The Jin Tae Kim received its 1689791493 assignment from the Centers for Medicare & Medicaid Services on 2007-03-25.
As of what date were the details related to Jin Tae Kim most recently updated or revised?
The information pertaining to Jin Tae Kim, including its address, specialty, and other relevant details, was last updated or revised on 2011-07-22.
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