Dr. Gordon L. Kim
Gastroenterologist
326 Santa Fe Dr
Encinitas
, California 92024-5156
Dr. Gordon L. Kim
Gastroenterologist
326 Santa Fe Dr
Encinitas
, California 92024-5156
(760) 753-5594
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Gordon L. Kim
- 10790 Rancho Bernardo Rd
- San Diego, CA
- Zip : 92127-5705
- Phone : (760) 753-5594
Second Address
- Dr. Gordon L. Kim
- 326 Santa Fe Dr
- Encinitas, CA
- Zip : 92024-5156
- Phone : (760) 753-5594
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | G81107 | CA |
National Provider Identifier
| NPI | 1013012046 |
|---|---|
| Provider Name | Dr. Gordon L. Kim |
| First Address | San Diego, CA 92127-5705 |
| Second Address | Encinitas, CA 92024-5156 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/09/2006 |
| Last Update Date | 30/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G811070 | (05) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.