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Individual

IRENE JEAN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
311 WINSTON ST, LOS ANGELES, CA 90013-1519
(213) 893-1960
Mailing address
1560 3RD ST APT 1505, SAN FRANCISCO, CA 94158-2328
(323) 273-9680

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
57268
CA

Other

Enumeration date
10/01/2019
Last updated
10/01/2019
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