Provider Demographics
NPI:1871517110
Name:KIM, PAUL EUIN (MD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:EUIN
Last Name:KIM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8352 CLAIREMONT MESA BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-1302
Mailing Address - Country:US
Mailing Address - Phone:619-543-0144
Mailing Address - Fax:619-543-0445
Practice Address - Street 1:8352 CLAIREMONT MESA BLVD STE A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-1302
Practice Address - Country:US
Practice Address - Phone:619-543-0144
Practice Address - Fax:619-543-0445
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63939207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAW18575OtherMEDICARE GROUP NUMBER
CAWA63939DOtherMEDICARE 2ND INDIVIDU ID
CA6634690001OtherMEDICARE DME PTAN
CAW18575AOtherMEDICARE 2ND GROUP ID
CAWA63939CMedicare ID - Type Unspecified
CAWA63939DOtherMEDICARE 2ND INDIVIDU ID