Individual
KAREN KIM JO YAPHOCKUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-8036
Mailing address
3020 CHILDRENS WAY, MC 5075, SAN DIEGO, CA 92123-4223
(858) 966-8036
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
20A13298
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
20A13298
CA
Other
Enumeration date
12/29/2014
Last updated
06/08/2016
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