Individual
HAENA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
A126331
CA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
MD207073
OR
Other
Enumeration date
07/31/2008
Last updated
08/25/2025
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