Individual
ELLEN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2425 BISSO LN, CONCORD, CA 94520-4897
(206) 987-3268
(206) 988-2246
Mailing address
2425 BISSO LN, CONCORD, CA 94520-4897
(206) 987-3268
(206) 988-2246
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
61431377
WA
2084P0800X
Psychiatry Physician
Primary
A202664
CA
Other
Enumeration date
03/30/2020
Last updated
04/09/2026
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