Dr. Grace S Kim
Endocrinologist (Diabetes Doctor)
1660 San Carlos Ave
San Carlos
, California 94070-2022
Dr. Grace S Kim
Endocrinologist (Diabetes Doctor)
1660 San Carlos Ave
San Carlos
, California 94070-2022
(209) 579-5637
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About
Features
Specialties
- Endocrinologist (Diabetes Doctor)
Languages spoken
- English
Location
First Address
- Dr. Grace S Kim
- 220 Standiford Ave Ste F
- Modesto, CA
- Zip : 95350-1159
- Fax : (209) 579-5637
- Phone : (209) 579-5628
Second Address
- Dr. Grace S Kim
- 1660 San Carlos Ave
- San Carlos, CA
- Zip : 94070-2022
- Phone : (650) 759-9122
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | A76484 | CA |
National Provider Identifier
| NPI | 1083634323 |
|---|---|
| Provider Name | Dr. Grace S Kim |
| First Address | Modesto, CA 95350-1159 |
| Second Address | San Carlos, CA 94070-2022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/07/2006 |
| Last Update Date | 27/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A76484 | MEDICAL LICENSE (01) | CA |
| G72261 | (02) | 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.