Individual
DR. CYNTHIA DENISE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 PARNASSUS AVE, M680, BOX 0106, SAN FRANCISCO, CA 94143-0001
(415) 476-5153
Mailing address
505 PARNASSUS AVE, M680, BOX 0106, SAN FRANCISCO, CA 94143-0001
(415) 476-5153
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
A76898
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A768980
—
CA
Enumeration date
06/23/2006
Last updated
12/16/2013
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