Individual
JUNG O. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 478-7420
(661) 726-6149
Mailing address
1600 W AVENUE J, LANCASTER, CA 93534-2814
(661) 478-7420
(661) 726-6149
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95002596
CA
363LF0000X
Family Nurse Practitioner
95002596
CA
363LP2300X
Primary Care Nurse Practitioner
95002596
CA
Other
Enumeration date
10/06/2015
Last updated
08/09/2022
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