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NPI Code Detail

MEDICARE: DR. SEAN H KIM D.C.

MEDICARE: DR. SEAN H KIM D.C.
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
1111N00000XChiropractor31728CA

General Provider Information

NPI Number : 1922311489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SEAN H KIM D.C.
Provider Business Mailing Address
First Line : 2535 KETTNER BLVD STE 2A3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-1253
Country : US
Telephone Number : 619-501-7873
Fax Number :
Provider Business Practice Location Address
First Line : 2535 KETTNER BLVD STE 2A3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-1253
Country : US
Telephone Number : 619-501-7873
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2010
Last Update Date : 05/26/2020

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Directions to “ DR. SEAN H KIM D.C.” Practice Location

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