Search › California › 207WX0107X
Samuel Kim, MD
NPI 1720379100 · on the registry since 2011 · sole proprietor
Practice
- Address
- 555 N 13th Ave
Upland, CA 91786 - Phone
- (909) 982-8846
- Fax
- (909) 949-3967
- Organisation at this address
- Visionary Care Anesthesia Associates Inc
Pacific Eye Institute A Medical Group Inc
Pacific Eye Institute, A Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 15
Additional practice sites
- 7501 Greenway Center Dr # 300, Greenbelt, MD
- 11370 Anderson St Ste 1800, Loma Linda, CA
Registry record
- Primary taxonomy
- 207WX0107X
207WX0107X
- Also registered as
- 390200000X
207W00000X
207W00000X - Licence states on file
- OH, CA, DC, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-06-24
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