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Individual

DR. EUNICE JI-YUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2025 SOQUEL AVE, SANTA CRUZ, CA 95062-1323
(831) 458-5550
Mailing address
2350 W. EL CAMINO REAL, 2ND FLOOR, MOUNTAIN VIEW, CA 94040-6203

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A91126
CA
207RP1001X
Pulmonary Disease Physician
Primary
A91126
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A91126
LICENSE
CA
Enumeration date
09/20/2006
Last updated
12/16/2014
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