SearchCalifornia183500000X

Stacy Kim

NPI 1669002879 · on the registry since 2020 · sole proprietor

Practice

Address
1970 Yosemite Pkwy
Merced, CA 95341
Phone
(209) 726-4113
Organisation at this address
Longs Drug Stores California, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-01-16

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