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Contact Information

LISA KIM
8945 GOLF LINKS RD
OAKLAND, CA94605-4124
 Phone: 510-317-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician, Health Information

247000000X
 

Community Health Worker

172V00000X
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for LISA KIM · (Female)

NPI Number 1063818565
Status Active
Credentials
Entity Individual
Enumeration date 11/10/2014
Last updated 08/10/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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