Individual
SUE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
9201 W SUNSET BLVD STE 404, LOS ANGELES, CA 90069-3705
(310) 266-8921
(310) 775-9762
Mailing address
9201 W SUNSET BLVD STE 404, LOS ANGELES, CA 90069-3705
(310) 266-8921
(310) 775-9762
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
RN493968
CA
Other
Enumeration date
07/01/2008
Last updated
05/26/2015
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