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Individual
JOO YOUNG KIM
Active
Individual
JOO YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55582
CA
363AS0400X
Surgical Physician Assistant
55582
CA
Other
Enumeration date
11/18/2016
Last updated
10/29/2025
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