Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kyung-Il John Kim

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1811748171

Kyung-Il John Kim is a Student in an Organized Health Care Education/Training Program in Fontana, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

17234 Valley Blvd Bldg A
Fontana, CA 92335-6720
Phone: (833) 574-2273
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1811748171
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 27, 2024
Last updated in NPPESJanuary 3, 2025
Certification dateMarch 24, 2024

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