Individual
SCARLETT KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15825 LAGUNA CANYON RD, IRVINE, CA 92618-2125
(949) 679-0000
Mailing address
25205 GROVEWOOD, LAKE FOREST, CA 92630-6484
(714) 249-5301
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95023022
CA
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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