Individual
MS. CHANYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
266 S HARVARD BLVD STE 100, LOS ANGELES, CA 90004-4374
(213) 381-8668
Mailing address
266 S HARVARD BLVD STE 100, LOS ANGELES, CA 90004-4374
(213) 381-8668
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95004688
CA
Other
Enumeration date
03/20/2018
Last updated
03/20/2018
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