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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SONYA YOUNG KIM, M.D., MBA

Active Sole Proprietor

Sports Medicine (EM) · SAN CARLOS, CA

Registration Details

NPI Number
1225353022
Provider Type
Individual
Gender
Female
NPI Issued
Apr 5, 2010 (16.047007414876 yrs)
Last Updated
Mar 7, 2023
Licenses
A79002 (CA)
A79002 (CA)
A79002 (CA)
A79002 (CA)
A79002 (CA)
Sole Proprietor
Yes

Practice Information

Address
1 DEVONSHIRE BLVD APT 8
SAN CARLOS, CA, 940701758
Browse CA providers · Browse ZIP 94070
Phone
4153141005
Fax
8889598346
Primary Specialty
Sports Medicine (EM)
207PS0010X
Additional Specialty
Sports Medicine (EM)
Additional Specialty
Emergency Medicine
Additional Specialty
Emergency Medical Services
Additional Specialty
Pediatric Emergency Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.