# GRACE KIM MD ENDOCRINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922797562
- **Authorized official:** DR. GRACE KIM MD (OWNER)
- **Authorized official phone:** (650) 759-9122

## Contact information

- **Practice address:** 1660 SAN CARLOS AVE, SAN CARLOS, CA 94070-2022
- **Practice address phone:** (650) 759-9122
- **Mailing address:** 1660 SAN CARLOS AVE, SAN CARLOS, CA 94070-2022
- **Mailing address phone:** (650) 759-9122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2023
- **Last updated:** 05/01/2023