Individual
DR. SONYA YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MBA
Contact information
Practice address
1 DEVONSHIRE BLVD APT 8, SAN CARLOS, CA 94070-1758
(415) 314-1005
(888) 959-8346
Mailing address
1 DEVONSHIRE BLVD APT 8, SAN CARLOS, CA 94070-1758
(415) 314-1005
(888) 959-8346
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A79002
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A79002
CA
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
A79002
CA
207PH0002X
Hospice and Palliative Medicine (Emergency Medicine) Physician
A79002
CA
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
A79002
CA
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
A79002
CA
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
A79002
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A79002
CA STATE MEDICAL LICENSE
CA
01
—
MD 12795
HI STATE MEDICAL LICENSE
HI
Enumeration date
04/05/2010
Last updated
03/07/2023
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