IndividualActive
Brina Kim
NPI 1417169145 · Health Service Clinic/Center · San Dimas, CA
Provider details
- NPI number
- 1417169145
- Entity type
- Individual
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 7841 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Other Service Providers
Practice location
554 E Foothill Blvd Ste 116
San Dimas, CA 91773-1222
Phone: (909) 599-8818
Fax: (909) 599-8898
Approximate (ZIP-level) locationGet directions
Mailing address
554 E Foothill Blvd Ste 116
San Dimas, CA 91773-1222
Registry dates
- Enumerated
- 2007-05-04
- Last updated
- 2020-05-20
- Certified
- 2020-05-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.