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1578060976
STAECY Y KIM
TARZANA, CA
NPI
1578060976
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080N0001X Pediatrics, Neonatal-Perinatal Medicine
(Licence: CA A173674)
Enumeration Date
2018-04-11
Last Update Date
2024-12-19
Business Address
STAECY Y KIM MD
18321 CLARK ST
TARZANA, CA 91356-3501
Phone number: 818-708-5570
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Mailing Address
STAECY Y KIM MD
4140 W 190TH ST
TORRANCE, CA 90504-5513
Phone number:
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