Individual
BOB KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
2222 SANTA MONICA BLVD STE 301, SANTA MONICA, CA 90404-2307
(310) 449-0093
Mailing address
336 S OCCIDENTAL BLVD APT 206, LOS ANGELES, CA 90057-1544
(213) 270-5684
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10200931
CA
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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