Individual
GEON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Mailing address
1515 E OCEAN AVE, LOMPOC, CA 93436-7092
(805) 737-3300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
726346
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
95000371
CA
Other
Enumeration date
10/28/2015
Last updated
07/03/2023
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