Individual
FRANCINE M KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
(562) 661-1110
Mailing address
2801 ATLANTIC AVE, LONG BEACH, CA 90806-1701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-086801
IL
2085R0202X
Diagnostic Radiology Physician
Primary
G88853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021622158
CMMG BLUE SHIELD
IL
05
—
036086801
—
IL
Enumeration date
09/06/2005
Last updated
08/10/2016
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