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General NPI Number Information
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NPI Number | 1649119942
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Entity Type | Organization
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Legal Business Name | YOUNG KIM MD INC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 2400 SAMARITAN DR STE 100
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City | SAN JOSE
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State | CA
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Zip | 95124-3910
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Country | US
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Telephone | 650-289-8483
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 SAMARITAN DR STE 100
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City | SAN JOSE
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State | CA
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Zip | 95124-3910
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Country | US
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Telephone | 650-289-8483
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YOUNG KIM
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Credential | MD
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Telephone | 650-289-8483
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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