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Individual

LIZA SUNMIN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
87 SCRIPPS DR STE 310, SACRAMENTO, CA 95825-6318
(916) 705-2798
(916) 273-5646
Mailing address
11230 GOLD EXPRESS DR # 310-169, GOLD RIVER, CA 95670-4484

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A116202
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
218544901
TX
01
A116202
MEDICAL STATE LICENSE
CA
Enumeration date
05/09/2007
Last updated
11/02/2023
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