Individual
NAMJU KIM SHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Mailing address
5471 LA PALMA AVE STE 105, LA PALMA, CA 90623-1773
(714) 695-2388
(714) 695-2391
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
18570
CA
Other
Enumeration date
12/23/2009
Last updated
06/27/2024
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