Search › California › 208000000X
Shannon Kim
NPI 1588077564 · on the registry since 2014
Practice
- Address
- 8910 Villa La Jolla Drive
Suite 110
La Jolla, CA 92037 - Phone
- (858) 203-4962
- Clinicians at this address
- 27
Additional practice sites
- 7910 Frost Street, San Diego, CA
Registry record
- Primary taxonomy
- 208000000X
208000000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California