Provider Demographics
NPI:1679795942
Name:KIM, ESTHER AHYOUNG (MD)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:AHYOUNG
Last Name:KIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:350 PARNASSUS AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94117-3608
Mailing Address - Country:US
Mailing Address - Phone:415-353-9392
Mailing Address - Fax:415-353-4622
Practice Address - Street 1:350 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94117-3608
Practice Address - Country:US
Practice Address - Phone:415-353-9392
Practice Address - Fax:415-353-4622
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA110978208600000X
NE25281208600000X
AZ432032086S0122X
CAA1109782086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery