Individual
MRS. CRISTINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1225 15TH ST, SANTA MONICA, CA 90404-1101
(424) 259-8405
Mailing address
PO BOX 5311, CHATSWORTH, CA 91313-5311
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95000996
CA
Other
Enumeration date
08/22/2014
Last updated
09/24/2014
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