Provider Demographics
NPI:1255560967
Name:PAIK, AIMEE SOYUN (MD)
Entity type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:SOYUN
Last Name:PAIK
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1033 LOS PALOS DR
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-3916
Mailing Address - Country:US
Mailing Address - Phone:831-649-1000
Mailing Address - Fax:831-649-4962
Practice Address - Street 1:1033 LOS PALOS DR
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-3916
Practice Address - Country:US
Practice Address - Phone:831-757-2058
Practice Address - Fax:831-757-0232
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2018-05-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA110747207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
1083863468OtherCENTRAL COAST DERMATOLOGY, INC. GROUP NPI NUMBER FOR BILLING