Kim, Lisa

Kim, Lisa is an individual health care provider with primary practice located at 2445 W Chapman Ave , Orange CA 92868-2304. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Kim, Lisa can be contacted via phone (714) 978-3391.

Contact Information

Primary practice address
2445 W Chapman Ave Orange CA 92868-2304
Phone: (714) 978-3391
Fax: (714) 978-2051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 10433 California

Profile Details

NPI number 1306921093
LBN Legal business name Kim, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306921093 NPPES
California Other RN509572 MEDI-CAL

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