Individual
RYAN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
619 N FAIRFAX AVE, LOS ANGELES, CA 90036-1714
(886) 884-5625
Mailing address
330 S BERENDO ST APT 229, LOS ANGELES, CA 90020-5800
(818) 599-2534
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PTA49299
CA
Other
Enumeration date
12/16/2021
Last updated
12/16/2021
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