Individual
MISS GINA B KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3828 DELMAS TER, CULVER CITY, CA 90232-2713
(310) 909-4717
Mailing address
176 S SHADOW PINES RD, ORANGE, CA 92869-6566
(310) 909-4717
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA19968
CA
Other
Enumeration date
11/04/2008
Last updated
10/26/2023
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