Individual
ELDEN H. KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
F.N.P.
Contact information
Practice address
4766 CALCAGNO CT, DUBLIN, CA 94568-4264
(415) 961-4555
Mailing address
4766 CALCAGNO CT, DUBLIN, CA 94568-4264
(415) 961-4555
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95024265
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D4049136
—
CA
Enumeration date
02/14/2023
Last updated
02/14/2023
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