Individual
DR. CAROL Y IM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 CIVIC DR, SUITE 100, PLEASANT HILL, CA 94523-1988
(925) 676-1700
(925) 676-1792
Mailing address
1450 TREAT BLVD, STE 300, WALNUT CREEK, CA 94597-2168
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A80693
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A806930
—
CA
Enumeration date
07/20/2006
Last updated
11/22/2016
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