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Organization
HUMBLED ONE NURSING GROUP CORP
Active
Organization
HUMBLED ONE NURSING GROUP CORP
Active
Other names
PRIMARY CARE AND IV
Organization subpart
No
Provider details
NPI number
Authorized official
NAMJU KIM SHIN AGNP-C (CEO)
(714) 695-2388
Entity
Organization
Contact information
Practice address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Mailing address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
12/14/2024
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