Dr. Ji-Eon Kim
Otolaryngologist (ENT Doctor)
280 W Macarthur Blvd
Oakland
, California 94611-5642
Dr. Ji-Eon Kim
Otolaryngologist (ENT Doctor)
280 W Macarthur Blvd
Oakland
, California 94611-5642
(510) 752-6400
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About
Features
Specialties
- Otolaryngologist (ENT Doctor)
Languages spoken
- English
Location
First Address
- Dr. Ji-Eon Kim
- 532 30th St Apt 7
- Oakland, CA
- Zip : 94609-3223
- Phone : (510) 752-6400
Second Address
- Dr. Ji-Eon Kim
- 280 W Macarthur Blvd
- Oakland, CA
- Zip : 94611-5642
- Phone : (510) 752-6400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngologist (ENT Doctor) | A99557 | CA |
National Provider Identifier
| NPI | 1043433535 |
|---|---|
| Provider Name | Dr. Ji-Eon Kim |
| First Address | Oakland, CA 94609-3223 |
| Second Address | Oakland, CA 94611-5642 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/04/2007 |
| Last Update Date | 15/12/2021 |
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.