| Elisa Kim | |
|
2929 Summit St Ste 102 Oakland CA 94609-3423 | |
| (510) 809-7084 | |
| Not Available |
| Full Name | Elisa Kim |
|---|---|
| Speciality | Clinic/center |
| Location | 2929 Summit St Ste 102, Oakland, California |
| Authorized Official Name and Position | Elisa Kim (L.AC.) |
| Authorized Official Contact | 5108097084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa Kim 650 Canyon Oaks Dr Apt E Oakland CA 94605-5920 Ph: () - | Elisa Kim 2929 Summit St Ste 102 Oakland CA 94609-3423 Ph: (510) 809-7084 |
| NPI Number | 1952886194 |
|---|---|
| Provider Enumeration Date | 10/03/2018 |
| Last Update Date | 10/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952886194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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