Individual
INJA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5972 BEACH BLVD, BUENA PARK, CA 90621-2024
(714) 562-5857
Mailing address
5972 BEACH BLVD, BUENA PARK, CA 90621-2024
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G57460
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G574601
—
CA
Enumeration date
09/20/2006
Last updated
09/10/2014
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