Individual
JANE MOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
125 W HUNTINGTON DR, ARCADIA, CA 91007-3050
(909) 762-8458
Mailing address
15022 LOFTHILL DR, LA MIRADA, CA 90638-5140
(909) 762-8458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95033453
CA
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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