Individual
ANGELA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1930 S BEVERLY GLEN BLVD APT 203, LOS ANGELES, CA 90025-5158
(213) 925-5254
Mailing address
1930 S BEVERLY GLEN BLVD APT 203, LOS ANGELES, CA 90025-5158
(213) 925-5254
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95009617
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95009617
NURSE PRACTITIONER FURNISHING
CA
01
—
95052723
REGISTERED NURSE
CA
Enumeration date
09/07/2018
Last updated
09/07/2018
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