Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | G81813 | CA |
NPI | 1053411967 |
---|---|
Provider Name | Alexis Hangin Kim |
First Address | Mountain View, CA 94040-6201 |
Second Address | San Jose, CA 95124-4113 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2006 |
Last Update Date | 01/08/2013 |