Provider Information

Last Updated : Nov 22 2024 3:48 PM

Phillip J Kim




City
Fresno
Group
SAINT AGNES MEDICAL FOUNDATION
Specialty
Family Practice
Last Name
Kim
First Name
Phillip
Middle Name
J
Address
4770 W. Herndon Ave. Ste 110
State
CA
Zip Code
93722
Phone
(559)450-0463
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Language 1
Korean
Hospital Affiliation
Clovis Community Hospital& Community Regional Medical Center& Saint Agnes Medical Center
Section Number
1
County
FRESNO
Accepting New Patient
Yes
PPG NAME
SAINT AGNES MEDICAL FOUNDATION
Clinic Service Type
FQHC
PPG ID
MFRL9
NPI Number
1033365341
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
License ID
A105129
Board Certified
No
Self Access Flag
Facility Site Database
PHY CCT IND
Y

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