Individual
HEEDONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 S WESTERN AVE STE 204, LOS ANGELES, CA 90020-4115
(213) 770-2070
Mailing address
905 FEDORA ST APT 2, LOS ANGELES, CA 90006-1472
(347) 556-5720
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95253512
CA
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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