Individual
CHARLEEN LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
130 LA CASA VIA, BUILDING 3, SUITE 211, WALNUT CREEK, CA 94598
(925) 933-0984
Mailing address
1450 TREAT BLVD # 300, WALNUT CREEK, CA 94597-2168
(925) 952-2828
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A95969
CA
Other
Enumeration date
10/25/2007
Last updated
07/23/2021
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