Individual
OK SANG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
4218 EMPIRE WAY, CARMICHAEL, CA 95608-1747
(916) 802-8880
Mailing address
4218 EMPIRE WAY, CARMICHAEL, CA 95608-1747
(916) 802-8880
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
B3805516
CA
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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