Individual
ALEX KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
26520 CACTUS AVE STE 201, MORENO VALLEY, CA 92555-3927
(951) 486-6575
(951) 486-5910
Mailing address
6233 BRISA DEL MAR DR, EL PASO, TX 79912-1854
(915) 345-7687
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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