Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. SAM YONG KIM, IDC
Active Sole ProprietorMR. SAM YONG KIM, IDC is a Independent Duty Corpsman healthcare provider located in CAMP PENDLETON, California. NPI 1114122645 is currently active in the NPPES registry. Verify at CMS.
Independent Duty Corpsman · CAMP PENDLETON, CA
Registration Details
- NPI Number
- 1114122645
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 15, 2007 (19.187213950058 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
BOX 555697CAMP PENDLETON, CA, 92055Browse CA providers · Browse ZIP 92055
- Phone
- 6199618745
- Primary Specialty
-
Independent Duty Corpsman
1710I1002X
Other Independent Duty Corpsman Providers in CAMP PENDLETON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. CHRISTOPHER DANIEL GARCIA | INDEPENDENT DUTY COR | 1679538268 |
| MISS CATHERINE ANTONIE KAUFMAN | IDC | 1881646370 |
| JOSEPH E LIBRETTO | — | 1437250354 |
| BYRON PACK | IDC | 1295872232 |
| MR. MICHAEL ROBERT GROHMAN | IDC | 1477766871 |
| MR. DUSTIN ADAMS | IDC | 1598971749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.