Individual
DR. CECILIA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
200 MERCY CIRCLE, MEDICAL STAFF SERVICES, CAMP PENDLETON, CA 92055
(760) 719-3675
Mailing address
61 POND LN, LEVITTOWN, NY 11756-1146
(646) 427-3812
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
322944
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/24/2014
Last updated
09/16/2024
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