Individual
MS. HAEJIN REBECCA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 JEFFERSON BLVD STE B180, WEST SACRAMENTO, CA 95605-2394
(916) 403-2900
Mailing address
500 JEFFERSON BLVD STE B180, WEST SACRAMENTO, CA 95605-2394
(916) 403-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA18683
CA
Other
Enumeration date
11/13/2006
Last updated
04/19/2023
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