Individual
ALICE KISUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2558 TIFFANY PL, FULLERTON, CA 92833-1527
(213) 200-3500
Mailing address
2558 TIFFANY PL, FULLERTON, CA 92833-1527
(213) 200-3500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95027340
CA
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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