Individual
ALISA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
(800) 872-2273
Mailing address
1500 SAN PABLO ST, LOS ANGELES, CA 90033-5313
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
03/01/2026
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