Individual
MARK JOONG-PYOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
200 E DEL MAR BLVD STE 112, PASADENA, CA 91105-2552
(626) 564-2700
Mailing address
1805 MERIDIAN AVE UNIT 4, SOUTH PASADENA, CA 91030-5502
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT292426
CA
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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