Most Relevant Information
Provider Data
| NPI Number: | 1003560616 |
| Provider Name: | TRANG THI KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 95019465 |
Most Important Dates
| Enumeration Date: | 02/11/2022 |
| Last Updated: | 02/11/2022 |
Provider Practice Location
3643 W 133RD ST
HAWTHORNE
CA
902506217
Practice Location Phone/Fax
| Phone: | 3102970194 |
| Fax: |
Provider Mailing Location
3643 W 133RD ST
HAWTHORNE
CA
902506217
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |