Individual
EDWARD KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5425 POMONA BLVD, LOS ANGELES, CA 90022-1716
(323) 728-0411
Mailing address
1230 S OLIVE ST APT 312, LOS ANGELES, CA 90015-4173
(562) 417-9263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14541
CA
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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