Organization
KIM YOUNGRAE MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS YOUNGRAE KIM M.D. (PRESIDENT)
(714) 588-4037
Entity
Organization
Contact information
Practice address
5730 BEACH BLVD, #200, BUENA PARK, CA 90621-4305
(714) 588-4024
Mailing address
5730 BEACH BLVD, #200, BUENA PARK, CA 90621-4305
(714) 588-4024
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
11/17/2023
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