Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A92871 | CA |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | A92871 | CA |
NPI | 1275678294 |
---|---|
Provider Name | Dr. Jasmine Tan-Kim |
First Address | San Diego, CA 92110-5339 |
Second Address | San Diego, CA 92103-8433 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2007 |
Last Update Date | 21/12/2021 |