Individual
PAUL KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 MAXWELL, IRVINE, CA 92618-4641
(661) 670-3031
Mailing address
20 MAXWELL, IRVINE, CA 92618-4641
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
7600
CA
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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