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Lori Crystal Kim, MD
Hematology & Oncology Physician in San Rafael, California
NPI 1437338605

Lori Crystal Kim is a Hematology & Oncology Physician based in San Rafael, CA and is specialized in Hematology & Oncology. Lori Crystal Kim practices in San Rafael, CA and has the professional credentials of MD. The NPI Number for Lori Crystal Kim is 1437338605 and holds a License No. A109816 (California).

The current practice location address for Lori Crystal Kim is 820 Las Gallinas Ave, San Rafael, CA and can be reached out via phone at 415-446-2500.

Location: 820 Las Gallinas Ave, San Rafael, CA, 94903-3410
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437338605
Provider Name
Lori Crystal Kim
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
820 Las Gallinas Ave, San Rafael, CA, 94903-3410
Phone Number
415-446-2500
Fax Number
Provider Enumeration Date
10/24/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09164 01 FL BCBS
280072100 05 FL
institution
Provider Business Practice Location Address Details
Address
820 Las Gallinas Ave
City
San Rafael
State
California
Zip
94903-3410
Phone Number
415-446-2500
Fax Number
person
Provider Business Mailing Address Details
Address
820 Las Gallinas Ave
City
San Rafael
State
California
Zip
94903-3410
Phone Number
415-446-2500
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
A109816 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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