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Jonathan Kim

NPI 1053071688 · on the registry since 2021

Practice

Address
1520 Nutmeg Pl Ste 110
Costa Mesa, CA 92626
Phone
(818) 241-6780
Fax
(800) 819-7806
Organisation at this address
Eval-Docs
Medmgr Mso
Center For Pain Relief
Matrix Rehabilitation, Inc.
Advantage Plus Medical Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
149

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-12-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California