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

Mr. Sam Yong Kim, IDC

Individual provider Independent Duty Corpsman · NPI 1114122645

Mr. Sam Yong Kim, IDC is an Independent Duty Corpsman in Camp Pendleton, California. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Box 555697
Camp Pendleton, CA 92055
Phone: (619) 961-8745

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1114122645
Entity typeIndividual (Type 1)
GenderMale
Credentials IDC
Sole proprietorYes
NPI enumeratedJune 15, 2007
Last updated in NPPESJuly 8, 2007

Other providers in Camp Pendleton