Individual
MISS SO HYEOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 AMBERWOOD DR APT C, SOUTH PASADENA, CA 91030-1926
(626) 476-1139
Mailing address
1650 AMBERWOOD DR APT C, SOUTH PASADENA, CA 91030-1926
(626) 476-1139
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
NP95035312
CA
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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