Provider Demographics
NPI:1740364280
Name:KIM, ESTHER YOONAH (MD)
Entity type:Individual
Prefix:DR
First Name:ESTHER
Middle Name:YOONAH
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41540 WINCHESTER RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92590-4877
Mailing Address - Country:US
Mailing Address - Phone:951-699-9201
Mailing Address - Fax:951-699-9205
Practice Address - Street 1:41715 WINCHESTER RD
Practice Address - Street 2:SUITE 201-A
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92590-4808
Practice Address - Country:US
Practice Address - Phone:951-699-9201
Practice Address - Fax:951-699-9205
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2008-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA697172086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A697172Medicare ID - Type UnspecifiedMEDICARE
CAH68300Medicare UPIN