Individual
KYUNGMO HAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ATC, CSCS
Contact information
Practice address
DEPARTMENT OF KINESIOLOGY 18111 NORDHOFF STREET, NORTHRIDGE, CA 91330-0001
(818) 677-5815
Mailing address
DEPARTMENT OF KINESIOLOGY 11811 NORDHOFF STREET, NORTHRIDGE, CA 91330-8287
(310) 951-5827
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
09/09/2022
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