Individual
ANNA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1401 W 1ST ST, SANTA ANA, CA 92703-3757
(714) 542-9700
Mailing address
2271 W MALVERN AVE # 180, FULLERTON, CA 92833-2106
(310) 991-6198
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
52620
CA
Other
Enumeration date
07/20/2015
Last updated
11/05/2015
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