Individual
MS. ANNA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1500 E DUARTE RD, DUARTE, CA 91010
(626) 359-8111
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A61100
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
A61100
CA
207RP1001X
Pulmonary Disease Physician
A61100
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A611000
—
CA
Enumeration date
10/04/2006
Last updated
11/09/2020
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