MR. IDC Sam Yong Kim, NPI 1114122645
Independent Duty Corpsman in Camp Pendleton, CA, AE

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1114122645
NPI Entity Type Individual
Provider Name MR. IDC Sam Yong Kim
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address Box 555697, Camp Pendleton, CA, AE
Provider Mailing Address 9115 Dillon Dr, La Mesa, CA, US, 919414230
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

1710I1002X

Taxonomy Name Independent Duty Corpsman
Classification

Military Health Care Provider

Group

Other Service Providers

Description A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

Business Address

MR. IDC Sam Yong Kim
Box 555697

Camp Pendleton, CA, AE

Phone: 619-961-8745

Mailing Address

MR. IDC Sam Yong Kim
9115 Dillon Dr
La Mesa, CA, US
ZIP 919414230
Phone: 619-961-8745

Other Providers in CA, AE

NPI Name Taxonomy Address

1114122645

MR. IDC Sam Yong Kim

Individual

Independent Duty Corpsman

Box 555697

Camp Pendleton, CA

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