Individual
YOORON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 622-2800
(562) 741-4479
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 741-4479
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
815629
CA
363LA2200X
Adult Health Nurse Practitioner
95015346
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
95015346
CA
Other
Enumeration date
08/26/2021
Last updated
12/28/2021
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