Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A122547 | CA |
NPI | 1033237987 |
---|---|
Provider Name | Dr. Edward J Kim |
First Address | Sacramento, CA 95817-2229 |
Second Address | Sacramento, CA 95817-2229 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2007 |
Last Update Date | 05/09/2019 |