Individual
TOMIE KANG PAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1430 SAN JULIAN ST, BUILDING 2, LOS ANGELES, CA 90015-3142
(213) 765-2800
Mailing address
1430 SAN JULIAN ST, BUILDING 2, LOS ANGELES, CA 90015-3142
(213) 765-2800
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
223722
CA
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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