Most Relevant Information
Provider Data
| NPI Number: | 1003441080 |
| Provider Name: | JANE YE-EUN KIM PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | 82033 |
Most Important Dates
| Enumeration Date: | 03/10/2020 |
| Last Updated: | 03/10/2020 |
Provider Practice Location
5685 BALBOA AVE
SAN DIEGO
CA
921112705
Practice Location Phone/Fax
| Phone: | 8582792860 |
| Fax: |
Provider Mailing Location
5685 BALBOA AVE
SAN DIEGO
CA
921112705
Provider Mailing Phone/Fax
| Phone: | 8582792860 |
| Fax: |