Individual
TAE HYUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D P M INC
Contact information
Practice address
13701 BURBANK BLVD, VAN NUYS, CA 91401-5040
(818) 997-1216
(818) 997-4458
Mailing address
13701 BURBANK BLVD, VAN NUYS, CA 91401-5040
(818) 997-1216
(818) 997-4458
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4262
CA
Other
Enumeration date
05/31/2006
Last updated
07/20/2009
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