Individual
ANGELA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
955 W IMPERIAL HWY STE 100, BREA, CA 92821-3814
(714) 449-6900
Mailing address
955 W IMPERIAL HWY STE 100, BREA, CA 92821-3814
(714) 626-6343
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
65005467
CA
363LF0000X
Family Nurse Practitioner
Primary
NP95005467
CA
Other
Enumeration date
02/01/2017
Last updated
11/05/2021
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