| NPI | 1073360467 |
|---|---|
| Doing Business As | PRIMARY CARE AND IV |
| Entity Type | Organization |
| Authorized Contact | NAMJU KIM SHIN CEO 714-695-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-05-02 |
| Last Update Date | 2024-09-10 |