Individual
JAY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
87 N WILSON AVE APT 1, PASADENA, CA 91106-2318
(703) 981-2924
Mailing address
9201 W SUNSET BLVD, STE 820, WEST HOLLYWOOD, CA 90069-3701
(310) 550-1010
(310) 550-0650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP95069185
CA
Other
Enumeration date
07/02/2018
Last updated
01/11/2022
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