Individual
CHRISTINE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6991 SAN JULIAN CIR, BUENA PARK, CA 90620-2955
(949) 310-9636
Mailing address
6991 SAN JULIAN CIR, BUENA PARK, CA 90620-2955
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP19852
CA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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