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General NPI Number Information
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NPI Number | 1992609028
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Entity Type | Organization
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Legal Business Name | ISAAC KIM CRNA INC., A PROFESSIONAL NURSING CORPORATION
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Dates
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Enumeration Date | 10/03/2026
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Last Update Date | 10/03/2026
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Provider Practice Location Address
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Address Line | 420 34TH ST
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City | BAKERSFIELD
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State | CA
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Zip | 93301-2237
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Country | US
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Telephone | 661-327-4647
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Fax |
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Provider Business Mailing Address
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Address Line | 13047 ANDY ST
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City | CERRITOS
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State | CA
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Zip | 90703-6120
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Country | US
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Telephone | 562-896-8241
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISAAC Y KIM
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Credential | CRNA
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Telephone | 562-896-8241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number |
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License Number State | NULL
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