Individual
CHRISTINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 MEDICAL PLAZA, #450, LOS ANGELES, CA 90095-0001
(310) 825-0631
Mailing address
5767 W CENTURY BLVD, #400, LOS ANGELES, CA 90045-5631
(310) 825-0631
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A96108
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A961080
—
CA
Enumeration date
07/10/2006
Last updated
12/08/2021
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