Individual
CHARLOTTE Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1575 SOQUEL DR, SANTA CRUZ, CA 95065-1700
(831) 462-3050
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
00G801580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G801580
—
CA
Enumeration date
12/13/2006
Last updated
03/06/2024
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