Individual
CATHERINE CHONG-AE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1147 RED TAIL WAY, SIMI VALLEY, CA 93065-7232
(805) 527-8055
(805) 520-8849
Mailing address
1147 RED TAIL WAY, SIMI VALLEY, CA 93065-7232
(805) 527-8055
(805) 520-8849
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A55929
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A559290
—
CA
Enumeration date
08/23/2005
Last updated
06/27/2012
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