Organization
ALYSSA YOUNGJEE KIM MD A PROF CORP
Active
Organization
ALYSSA YOUNGJEE KIM MD A PROF CORP
Active
Other names
Alyssa Youngjee Kim, M.D., a Professional Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA Y. KIM M.D. (MEDICAL DIRECTOR)
(949) 786-0908
Entity
Organization
Contact information
Practice address
14150 CULVER DR, SUITE 304, IRVINE, CA 92604-0315
(949) 786-0908
(949) 786-0970
Mailing address
6521 E YOSEMITE AVE, ORANGE, CA 92867-2469
(949) 786-0908
(714) 998-7314
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G 70663
CA
207ND0101X
MOHS-Micrographic Surgery Physician
G70663
CA
207ND0900X
Dermatopathology Physician
G 70663
CA
207NS0135X
Procedural Dermatology Physician
G 70663
CA
Other
Enumeration date
06/18/2006
Last updated
06/13/2014
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