Individual
CHAE YEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
734 10TH AVE, SAN DIEGO, CA 92101-6502
(619) 239-4663
Mailing address
4827 LEHRER DR, SAN DIEGO, CA 92117-1361
(619) 875-4990
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95357181
CA
Other
Enumeration date
05/07/2026
Last updated
05/07/2026
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