Search › California › 207R00000X

Ildong Kim, M.D

NPI 1346262896 · on the registry since 2006 · sole proprietor

Practice

Address
3762 Clairemont Dr
San Diego, CA 92117
Phone
(858) 560-8910
Fax
(858) 560-8011
Organisation at this address
A. Jayson Tengonciang, Dmd, Inc
Nihon Clinic Sd, A Professional Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
208000000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-02-08

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