Individual
CHRISTINE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58 CAPRICORN, IRVINE, CA 92618-1187
(562) 455-9669
Mailing address
58 CAPRICORN, IRVINE, CA 92618-1187
(562) 455-9669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95022315
CA
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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