Individual
MRS. CHUNG JA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
333 S WESTERN AVE, STE A, LOS ANGELES, CA 90020-3804
(213) 385-9133
(213) 385-3121
Mailing address
333 S WESTERN AVE, STE A, LOS ANGELES, CA 90020-3804
(213) 385-9133
(213) 385-3121
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DME01438F
—
CA
Enumeration date
07/27/2006
Last updated
06/13/2008
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