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General NPI Number Information
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NPI Number | 1982516530
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Entity Type | Organization
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Legal Business Name | RAN S. KIM, MD, INC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 1399 YGNACIO VALLEY RD STE 11D
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2874
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Country | US
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Telephone | 925-430-5613
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Fax | 510-340-5420
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Provider Business Mailing Address
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Address Line | 1399 YGNACIO VALLEY RD STE 11D
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City | WALNUT CREEK
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State | CA
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Zip | 94598-2874
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Country | US
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Telephone | 925-430-5613
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Fax | 510-340-5420
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | RAN KIM
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Credential | MD
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Telephone | 925-787-2914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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