Individual
ANGIE BYUNG JU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1855 N FAIR OAKS AVE, PASADENA, CA 91103-1620
(626) 993-1221
Mailing address
455 W MONTANA ST, PASADENA, CA 91103-1327
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
55199
CA
Other
Enumeration date
12/04/2017
Last updated
04/21/2021
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