Individual
BRIANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30842 S PACIFIC COAST HIGHWAY, LAGUNA BEACH, CA 92651
(949) 499-2277
Mailing address
30842 S PACIFIC COAST HIGHWAY, LAGUNA BEACH, CA 92651-7671
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
80370
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80370
BOARD OF PHARMACY
CA
Enumeration date
03/08/2019
Last updated
08/04/2020
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