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KWAN SOO KIM M.D.
NPI 1174803530
General Practice in Loma Linda, CA

Active since August 17, 2011
24261 PAULSON DR., LOMA LINDA, CA 92354(909) 796-5251 Get Directions Write a Review

NPPES record last updated: August 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kwan Soo Kim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KWAN SOO KIM M.D. (NPI 1174803530) is an individual general practice provider in Loma Linda, California, licensed in California (CFE52187) and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1174803530
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameKWAN SOO KIMCredential: M.D.
Location Address24261 PAULSON DR.Loma Linda, CA 92354-4873
Mailing Address24261 Paulson Dr.Loma Linda, CA 92354
Phone(909) 796-5251
Sole ProprietorYes
Enumeration DateAugust 17, 2011
✔ NPI 1174803530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · CFE52187
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
24261 PAULSON DR., Loma Linda, CA 92354
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Other Identifiers 2

Medicare UPINE26249MI
Medicaid1082379MI

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kwan Kim's NPI number?

The NPI number for Kwan Kim is 1174803530. It was assigned to this individual provider in the NPPES registry on August 17, 2011.

Where is Kwan Kim located?

Kwan Kim practices at 24261 Paulson Dr., Loma Linda, CA 92354. The listed phone number is (909) 796-5251.

What is Kwan Kim's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Kwan Kim was last updated on August 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.