Ilkyoon Kim MD a Prof Corp
Ilkyoon Kim MD a Prof Corp is an Exclusive Provider Organization in Clearlake, California. Licensed in California. Registered with an NPI since 2008.
- Licensed in
- CA
- In the registry since
- 2008
What do these letters mean?
- Corp — Corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
15666 18th AveClearlake, CA 95422-9336
Phone: (707) 994-4210
Fax: (707) 994-0839
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence A-34081 (CA) |
|---|
Record details
| NPI number | 1659516094 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Ilkyoon Kim MD a Prof Corp |
| Authorized official | Ilkyoon Kim — Ceo · (707) 994-4210 |
| Other names | Same |
| NPI enumerated | December 15, 2008 |
| Last updated in NPPES | April 12, 2013 |
| Mailing address | 15666 18th Ave, P.O. Box 5326, Clearlake, CA 95422-9336 |