Provider Demographics
NPI:1275186793
Name:THINKNETIC MEDICAL CORPORATION
Entity Type:Organization
Organization Name:THINKNETIC MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:SEUNG KI
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-521-8818
Mailing Address - Street 1:1950 S SUNWEST LN STE 108
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92408-3263
Mailing Address - Country:US
Mailing Address - Phone:909-521-8818
Mailing Address - Fax:909-521-9854
Practice Address - Street 1:1950 S SUNWEST LN STE 108
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92408-3263
Practice Address - Country:US
Practice Address - Phone:909-521-8818
Practice Address - Fax:909-521-9854
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THINKNETIC MEDICAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-23
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive MedicineGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty