Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 20A11915 | CA |
N | 207R00000X | Internist | 20A11915 | CA |
N | 111NI0900X | Internist | 20A11915 | CA |
NPI | 1174881346 |
---|---|
Provider Name | Dr. Christine Young Lee-Kim |
First Address | Mission Viejo, CA 92691-6408 |
Second Address | Mission Viejo, CA 92691-6408 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2012 |
Last Update Date | 10/03/2021 |