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Individual

JI AH KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
1300 N VERMONT AVE, LOS ANGELES, CA 90027-6098
(213) 413-3000
(323) 666-2939
Mailing address
PO BOX 25033, SANTA ANA, CA 92799-5033
(714) 347-1010
(714) 347-1082

Taxonomy

Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
0001214465
VA
207L00000X
Anesthesiology Physician
95001716
CA
367500000X
Certified Registered Nurse Anesthetist
0024175781
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001716
CA

Other

Enumeration date
11/20/2017
Last updated
01/24/2024
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