Soo Y Kim
M.D. | Pediatrics | Female
Soo Y Kim, M.D. is a Highland, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Soo Y Kim is
7000 Boulder Ave, Highland, California - 92346-3348. She can be contacted on phone at
909-862-1191.
Soo Y Kim is a sole proprietor of her business.
NPI number (Unique professional ID) for Soo Y Kim is
1295763423 which was assigned by NPPES on 28 Jun, 2006 and it was last updated on 26 Jan, 2022.
Soo Y Kim license number is
A61217 for Pediatrics (208000000X) in California.
Soo Y Kim is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Soo Y Kim basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Soo Y Kim |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Soo Y Kim address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7000 Boulder Ave
Highland, CA, 92346-3348
United States |
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| Phone Number : | 909-862-1191 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1295763423 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Jun, 2006 |
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| Last Updated On : | 26 Jan, 2022 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Soo Y Kim are as mentioned. Primary taxonomy code for Soo Y Kim, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | A61217 | CA |
Legacy Identifiers:
Other legacy medical identifiers of Soo Y Kim such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00A612170 | MEDICAID | CA | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
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11401 HEACOCK ST, SUITE 330
MORENO VALLEY, CA, 92557-7908
United States | MORENO VALLEY, CA | 951-247-8697 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 10069
San Bernardino, CA, 92423-0069
United States |
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| Phone Number : | 909-335-4188 |
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Business Location:
Patients can refer following map for directions to
Soo Y Kim practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.