Organization
HUMBLED ONE NURSING GROUP CORP
Active
Other names
PRIMARY CARE AND IV
Organization subpart
No
Provider details
NPI number
Authorized official
NAMJU KIM SHIN AGNP-C (CEO)
(714) 695-2388
Entity
Organization
Contact information
Practice address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Mailing address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
12/14/2024
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