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Contact Information

LINA KIM, DO
1325 N ROSE DR STE 210
PLACENTIA, CA92870
 Phone: 714-203-1799
 Fax: 714-203-1716
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for LINA KIM · (Female)

NPI Number 1114457025
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/13/2017
Last updated 11/05/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A16691
  • FL License # OS14968
  • FL License # UO4966
Hospital affiliation(s)
  • ST JUDE MEDICAL CENTER - (Acute Care)
    101 E VALENCIA MESA DRIVE
    FULLERTON, CA 92835
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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