Individual
CANDACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C54498
CA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
224029
MA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
C54498
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2108739
—
MA
Enumeration date
02/28/2006
Last updated
04/30/2026
Update your record
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