Individual
DR. SUSIE YOUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1620 ROSE VILLA ST, PASADENA, CA 91106-3527
(626) 319-7429
Mailing address
1620 ROSE VILLA ST, PASADENA, CA 91106-3527
(626) 319-7429
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
157014
MA
Other
Enumeration date
02/01/2021
Last updated
02/01/2021
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