Individual
MRS. HAE JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2405 W 8TH ST STE 105, LOS ANGELES, CA 90057-5016
(213) 388-2229
(213) 388-1507
Mailing address
2405 W 8TH ST STE 105, LOS ANGELES, CA 90057-5016
(213) 388-2229
(213) 388-1507
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001862
CT
363A00000X
Physician Assistant
Primary
19696
CA
Other
Enumeration date
04/02/2007
Last updated
06/02/2021
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