Individual
MRS. GRACE H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
1824 HILLHURST AVE, LOS ANGELES, CA 90027-4408
(323) 664-1977
(323) 664-0870
Mailing address
1824 HILLHURST AVE, LOS ANGELES, CA 90027-4408
(323) 664-1977
(323) 664-0870
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
16561
CA
Other
Enumeration date
02/27/2012
Last updated
03/22/2012
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