MEDICARE: JEEYOON KIM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	74085	CA

General Provider Information

NPI Number	:	1225578545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEEYOON KIM

Provider Business Mailing Address
First Line	:	1400 BEAUMONT AVE
Second Line	:
City	:	BEAUMONT
State	:	CA
Zip	:	92223-4704
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 BEAUMONT AVE
Second Line	:
City	:	BEAUMONT
State	:	CA
Zip	:	92223-4704
Country	:	US
Telephone Number	:	951-769-4295
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2017
Last Update Date	:	03/06/2017

Similar Medicare Providers

1083629091 — WALGREEN CO
Practice Location Address:

1400 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4295
Practice Fax:

1306163456 — LOAN NGOC PHAM PHARM D
Practice Location Address:

1430 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4095
Practice Fax: 951-796-4096

1508143058 — JENNIFER RIVOR PHARM.D.
Practice Location Address:

1400 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4295
Practice Fax: 951-769-4649

1376813097 — DR. LAURA TONATZIN PEREZ-MUNOZ PHARMD
Practice Location Address:

1400 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4295
Practice Fax: 951-769-4649

1366843765 — ROSANNA P HOLTZHAUSEN RPH
Practice Location Address:

1430 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4095
Practice Fax: 951-769-4096

1275911869 — ROBERT LE
Practice Location Address:

1400 BEAUMONT AVE
BEAUMONT, CA
92223-4704

Practice Phone: 951-769-4295
Practice Fax:

Directions to “ JEEYOON KIM ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.