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Contact Information

LISA T KIM, DO
1220 ROSSMOOR PKWY
WALNUT CREEK, CA94595
 Phone: 925-647-3393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for LISA T KIM · (Female)

NPI # 1225456098
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/31/2014
Last updated 12/12/2018 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 20A15056
Hospital affiliation(s)
  • JOHN MUIR MEDICAL CENTER - CONCORD CAMPUS - (Acute Care)
    2540 EAST ST
    CONCORD, CA 94520
  • JOHN MUIR MEDICAL CENTER - WALNUT CREEK CAMPUS - (Acute Care)
    1601 YGNACIO VALLEY RD
    WALNUT CREEK, CA 94598
  • MEMORIAL MEDICAL CENTER - (Acute Care)
    1700 COFFEE RD
    MODESTO, CA 95355
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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