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NPI Code Detail

MEDICARE: ALAN HWAN KIM

MEDICARE: ALAN HWAN 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
1183500000XPharmacist49624CA

General Provider Information

NPI Number : 1720576333
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALAN HWAN KIM
Provider Business Mailing Address
First Line : 41200 MURRIETA HOT SPRINGS RD
Second Line :
City : MURRIETA
State : CA
Zip : 92562-9479
Country : US
Telephone Number : 951-461-1481
Fax Number : 951-698-8089
Provider Business Practice Location Address
First Line : 41200 MURRIETA HOT SPRINGS RD
Second Line :
City : MURRIETA
State : CA
Zip : 92562-9479
Country : US
Telephone Number : 951-461-1481
Fax Number : 951-698-8089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2018
Last Update Date : 04/30/2018

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Directions to “ ALAN HWAN KIM ” Practice Location

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