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Contact Information

CHARLOTTE Y KIM, MD
1575 SOQUEL DR
SANTA CRUZ, CA95065-1700
 Phone: 831-462-3050
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for CHARLOTTE Y KIM · (Female)

NPI # 1013079649
Status Active
Credentials MD
Entity Individual
Enumeration date 12/13/2006
Last updated 02/05/2014 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 00G801580
  • CA Medicaid 00G801580
  • Other ZZZ04913Z NEW MEDICARE GROUP
Hospital affiliation(s)
  • DOMINICAN HOSPITAL - (Acute Care)
    1555 SOQUEL DRIVE
    SANTA CRUZ, CA 95065
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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