Individual
HEIDI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12638 BLOOMFIELD AVE APT 65, NORWALK, CA 90650-1413
(714) 329-6284
Mailing address
12638 BLOOMFIELD AVE APT 65, NORWALK, CA 90650-1413
(714) 329-6284
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2021085537
MD
363LG0600X
Gerontology Nurse Practitioner
2021085537
MD
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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