Individual
JENNIFER SHIN YIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1650 S EUCLID AVE, ONTARIO, CA 91762-5824
(909) 391-4138
Mailing address
1650 S EUCLID AVE, ONTARIO, CA 91762-5824
(909) 391-4138
(909) 391-4395
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA22803
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22803
PHYSICIAN ASSISTANT LICENSE
CA
Enumeration date
04/04/2013
Last updated
02/12/2021
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