Individual
SAE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7677 CENTER AVE STE 405, HUNTINGTON BEACH, CA 92647-3098
(171) 434-5438
Mailing address
451 W LINCOLN AVE STE 100, ANAHEIM, CA 92805-2912
(714) 503-6550
(714) 409-3094
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015173
CA
Other
Enumeration date
09/24/2020
Last updated
03/11/2024
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