Individual
ASHLEY NINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15775 LAGUNA CANYON RD STE 100, IRVINE, CA 92618-3190
(949) 417-0272
Mailing address
28 HIDEAWAY LOOP, MISSION VIEJO, CA 92692-5962
(949) 236-9479
(661) 520-4050
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59888
CA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/06/2021
Last updated
05/06/2025
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