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Sally Kim
Student in an Organized Health Care Education/Training Program in Costa Mesa, California
NPI 1275278020

Sally Kim is a Student in an Organized Health Care Education/Training Program based in Glendora, CA. Sally Kim practices in Costa Mesa, CA. The NPI Number for Sally Kim is 1275278020 and holds a License No. (California).

The current practice location address for Sally Kim is 940 S Coast Dr Ste 225, Costa Mesa, CA and can be reached out via phone at 949-743-1457.

Location: 940 S Coast Dr Ste 225, Costa Mesa, CA, 91740-3500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275278020
Provider Name
Sally Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
940 S Coast Dr Ste 225, Costa Mesa, CA, 91740-3500
Phone Number
949-743-1457
Fax Number
Provider Enumeration Date
05/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
940 S Coast Dr Ste 225
City
Costa Mesa
State
California
Zip
92626-7757
Phone Number
949-743-1457
Fax Number
person
Provider Business Mailing Address Details
Address
940 S Coast Dr Ste 225
City
Costa Mesa
State
California
Zip
92626-7757
Phone Number
949-743-1457
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(California)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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