Individual
DR. SARA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 E COLORADO ST, GLENDALE, CA 91205-1712
(818) 500-5885
(818) 241-2946
Mailing address
PO BOX 512185, LOS ANGELES, CA 90051-0185
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
A71344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A713440
—
CA
05
—
00A713441
—
CA
Enumeration date
08/19/2006
Last updated
01/25/2024
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