Paul Jaegu Kim
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
200 W Arbor Dr
San Diego
, California 92103-9000
Paul Jaegu Kim
Internist - Cardiovascular Disease Advanced Heart Failure and Transplant Cardiologist
200 W Arbor Dr
San Diego
, California 92103-9000
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About
Features
Specialties
- Advanced Heart Failure and Transplant Cardiologist
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Paul Jaegu Kim
- Po Box 232410
- San Diego, CA
- Zip : 92193-2410
- Phone :
Second Address
- Paul Jaegu Kim
- 200 W Arbor Dr
- San Diego, CA
- Zip : 92103-9000
- Phone : (858) 657-8530
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Is Paul Jaegu Kim a sole practitioner?
Is Paul Jaegu Kim accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | A109213 | CA |
| N | 207RC0000X | Internist - Cardiovascular Disease | A109213 | CA |
National Provider Identifier
| NPI | 1417104837 |
|---|---|
| Provider Name | Paul Jaegu Kim |
| First Address | San Diego, CA 92193-2410 |
| Second Address | San Diego, CA 92103-9000 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/08/2008 |
| Last Update Date | 03/10/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A869820 | (05) | CA |
| L13678 | (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.