Individual
JESSICA Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
26732 CROWN VALLEY PKWY STE 571, MISSION VIEJO, CA 92691-7305
(949) 200-7008
Mailing address
26732 CROWN VALLEY PKWY STE 571, MISSION VIEJO, CA 92691-7305
(949) 200-7008
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A17031
CA
207R00000X
Internal Medicine Physician
UO3501
FL
Other
Enumeration date
08/14/2013
Last updated
12/20/2020
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