Individual
DR. ALYSSA Y. KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
14150 CULVER DR, SUITE 304, IRVINE, CA 92604-0315
(949) 786-0908
(949) 786-0970
Mailing address
14150 CULVER DR, SUITE 304, IRVINE, CA 92604-0315
(714) 895-5614
(949) 786-0970
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G70663
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G70663
CA
207ND0900X
Dermatopathology Physician
G70663
CA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
G70663
CA
207NS0135X
Procedural Dermatology Physician
G70663
CA
Other
Enumeration date
10/02/2007
Last updated
09/11/2009
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