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Individual

DR. NICHOLAS YOUNGRAE KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3010 W ORANGE AVE, #409, ANAHEIM, CA 92804-3169
(714) 484-3781
(714) 484-3852
Mailing address
3010 W ORANGE AVE, #409, ANAHEIM, CA 92804-3173
(714) 484-3781
(714) 484-3852

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
A52615
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A526150
CA
Enumeration date
10/10/2006
Last updated
06/02/2009
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