Organization
ELISA KIM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISA KIM L.AC. (L.AC.)
(510) 809-7084
Entity
Organization
Contact information
Practice address
2929 SUMMIT ST STE 102, OAKLAND, CA 94609-3423
(510) 809-7084
Mailing address
650 CANYON OAKS DR APT E, OAKLAND, CA 94605-5920
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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