Individual
VAN KIM MA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2825 50TH ST, SACRAMENTO, CA 95817-2310
(916) 703-0300
Mailing address
2825 50TH ST, SACRAMENTO, CA 95817-2310
(916) 703-0280
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
A173790
CA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/14/2018
Last updated
11/04/2021
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