Individual
DR. JESSICA KIM SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 644-6401
Mailing address
7862 EL CAJON BLVD, LA MESA, CA 91942-6712
(619) 644-6401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A122927
CA
Other
Enumeration date
04/08/2011
Last updated
02/10/2022
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