Individual
JOOYEON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 266-8400
Mailing address
2730 SHADELANDS DR BLDG 10, WALNUT CREEK, CA 94598-2538
(925) 266-8400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W225688423-04
AETNA
—
Enumeration date
09/28/2018
Last updated
11/05/2018
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