Individual
ANGELA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
72 CESAR CHAVEZ CTR, BERKELEY, CA 94720-4280
(510) 643-2551
Mailing address
4173 MONTGOMERY ST UNIT B, OAKLAND, CA 94611-5119
(847) 894-1394
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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