Provider Demographics
NPI:1497923866
Name:KIM, SUNHWA JENNY (MD)
Entity Type:Individual
Prefix:DR
First Name:SUNHWA
Middle Name:JENNY
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11175 CAMPUS ST
Mailing Address - Street 2:SUITE 11121
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92350-1700
Mailing Address - Country:US
Mailing Address - Phone:909-558-7448
Mailing Address - Fax:909-558-0298
Practice Address - Street 1:11175 CAMPUS ST
Practice Address - Street 2:SUITE 11121
Practice Address - City:LOMA LINDA
Practice Address - State:CA
Practice Address - Zip Code:92350-1700
Practice Address - Country:US
Practice Address - Phone:909-558-7448
Practice Address - Fax:909-558-0298
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-19
Last Update Date:2022-02-11
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Provider Licenses
StateLicense IDTaxonomies
CAA861842080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine