Sae Kim, NP | |
7677 Center Ave Ste 405, Huntington Beach, CA 92647-3098 | |
(171) 434-5438 | |
Not Available |
Full Name | Sae Kim |
---|---|
Gender | Male |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 7677 Center Ave Ste 405, Huntington Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992312904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95015173 (California) | Primary |
Entity Name | Korean Community Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861525602 PECOS PAC ID: 0446495105 Enrollment ID: O20211118000437 |
Mailing Address | Practice Location Address |
---|---|
Sae Kim, NP 451 W Lincoln Ave Ste 100, Anaheim, CA 92805-2912 Ph: (714) 503-6550 | Sae Kim, NP 7677 Center Ave Ste 405, Huntington Beach, CA 92647-3098 Ph: (171) 434-5438 |
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