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Organization
ED KIM, INC.
Active
Organization
ED KIM, INC.
Active
Other names
Kim Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED KIM MPT (PRESIDENT)
(951) 353-2831
Entity
Organization
Contact information
Practice address
3838 SHERMAN DR STE 11, RIVERSIDE, CA 92503-4001
(951) 353-2831
(951) 353-2834
Mailing address
3838 SHERMAN DR STE 11, RIVERSIDE, CA 92503-4001
(951) 353-2831
(951) 353-2834
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT22700
CA
Other
Enumeration date
07/13/2006
Last updated
08/22/2020
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