Individual
GINNY KIM THAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4650 W SUNSET BLVD, MS #81, LOS ANGELES, CA 90027-6062
(323) 361-3033
(323) 361-8191
Mailing address
4650 W SUNSET BLVD, MS #81, LOS ANGELES, CA 90027-6062
(323) 361-3033
(323) 361-8191
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
23518
CA
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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