Grace Charmie Kim, MD, MPP Valid NPI
Individual provider · Pediatrics Physician · Mammoth Lakes, CA
- NPI
- 1013479997
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- A178510 (CA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2019-04-01
- Last updated
- 2025-06-16
Practice location
85 Sierra Park Rd # A
Mammoth Lakes, CA 93546-2073
(760) 924-4000