Individual provider · Type 1 NPI
Debora Kim
Family Nurse Practitioner · Loma Linda, CA
NPI number
1154090694
Active
Practice location
11234 Anderson St
Loma Linda, CA 92354-2804
Fax (909) 558-4212
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 95016799 (CA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1154090694
Debora Kim's National Provider Identifier is 1154090694, issued on Sep 8, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 20, 2022.