Basic Information
| Provider Information | |||||||||
| NPI: | 1720510365 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KIM | ||||||||
| FirstName: | ARIN | ||||||||
| MiddleName: | EUNBIN | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 191 PARK DR | ||||||||
| Address2: | APT 22 | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 022154740 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5709723674 | ||||||||
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| Practice Location | |||||||||
| Address1: | 500 PARNASSUS AVE | ||||||||
| Address2: | MU 320 | ||||||||
| City: | SAN FRANCISCO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 941432203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4154766548 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2017 | ||||||||
| LastUpdateDate: | 04/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.