Most Relevant Information
Provider Data
| NPI Number: | 1003817578 |
| Provider Name: | SUSAN ELIZABETH MCKIM PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207P00000X |
| Specialty: | Emergency Medicine |
| License Number: | 25MP00121500 |
Most Important Dates
| Enumeration Date: | 08/09/2005 |
| Last Updated: | 11/16/2015 |
Provider Practice Location
10666 N TORREY PINES RD
LA JOLLA
CA
920371027
Practice Location Phone/Fax
| Phone: | 8585548646 |
| Fax: | 8585546271 |
Provider Mailing Location
10170 SORRENTO VALLEY RD
SAN DIEGO
CA
921211604
Provider Mailing Phone/Fax
| Phone: | 8587845888 |
| Fax: |