Individual
DIANE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2212 E 4TH ST, SANTA ANA, CA 92705-3870
(714) 288-3230
Mailing address
2212 E 4TH ST, SANTA ANA, CA 92705-3870
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A60719
CA
Other
Enumeration date
12/08/2006
Last updated
11/30/2021
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