Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL C. KIM, MD
Active Sole ProprietorDR. SAMUEL C. KIM, MD is a Sports Medicine (Emergency) healthcare provider located in UPLAND, California. NPI 1720379100 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Emergency) · UPLAND, CA
Registration Details
- NPI Number
- 1720379100
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 20, 2011 (15.35947638239 yrs)
- Last Updated
- Jun 24, 2020
- Licenses
-
A123812 (CA)MD042959 (DC)0101257811 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
555 N 13TH AVEUPLAND, CA, 917864904Browse CA providers · Browse ZIP 91786
- Phone
- 9099828846
- Fax
- 9099493967
- Primary Specialty
-
Sports Medicine (Emergency)
207WX0107X
- Additional Specialty
- Sports Medicine (Emergency)
- Additional Specialty
- Ophthalmology
- Additional Specialty
- Ophthalmology
Other Sports Medicine (Emergency) Providers in UPLAND, CA
| Name | Credential | NPI |
|---|---|---|
| MARTHA HENAO | MD | 1316358971 |
| DR. CALEB NG | — | 1568842672 |
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.