Individual
ISAAC Y KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 S LOS ROBLES AVE, PASADENA, CA 91101-2453
(626) 564-3016
Mailing address
13047 ANDY ST, CERRITOS, CA 90703-6120
(562) 896-8241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95170472
CA
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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