Individual
NANCY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2951 HARBOR BLVD, COSTA MESA, CA 92626-3912
(714) 546-7575
(714) 546-7573
Mailing address
3103 LADRILLO AISLE, IRVINE, CA 92606-8822
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
26985
CA
Other
Enumeration date
04/15/2010
Last updated
04/15/2010
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