Individual
DR. DANEIL IMKYU KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHOLOGIST
Contact information
Practice address
550 S VERMONT AVE FL 4, LOS ANGELES, CA 90020-1912
(818) 351-7737
(213) 639-1361
Mailing address
12121 SHADOW RIDGE WAY, NORTHRIDGE, CA 91326-3826
(818) 360-6902
(818) 997-8743
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY19028
CA
Other
Enumeration date
11/03/2006
Last updated
10/17/2011
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