Individual
TIFFANY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
302 E CARSON AVE FL 10, LAS VEGAS, NV 89101-5905
(855) 434-7763
(949) 281-5550
Mailing address
2592 N SANTIAGO BLVD, ORANGE, CA 92867-1862
(855) 434-7763
(949) 281-5550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA3007
NV
363A00000X
Physician Assistant
—
VA
Other
Enumeration date
08/21/2023
Last updated
10/17/2024
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