Provider Demographics
NPI:1538732417
Name:KIM, LAUREN TAYLOR (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:TAYLOR
Last Name:KIM
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Gender:F
Credentials:PHYSICIAN ASSISTANT
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Mailing Address - Street 1:3838 CALIFORNIA ST RM 715
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94118-1509
Mailing Address - Country:US
Mailing Address - Phone:530-219-4053
Mailing Address - Fax:415-752-2560
Practice Address - Street 1:3838 CALIFORNIA ST RM 715
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1509
Practice Address - Country:US
Practice Address - Phone:415-668-8010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-20
Last Update Date:2022-08-30
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical