Organization
CAREMORE HEALTH PLAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE KIM (MD)
(562) 902-4929
Entity
Organization
Contact information
Practice address
15034 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 902-4929
Mailing address
15034 IMPERIAL HWY, LA MIRADA, CA 90638-1301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A75520
CA
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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