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Individual

JOHN LEE IM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
5400 E OLYMPIC BLVD FL 1, COMMERCE, CA 90022-5147
(323) 869-9255
Mailing address
815 COLORADO BLVD STE 300, LOS ANGELES, CA 90041-1744
(323) 543-2800
(323) 978-1263

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
93907
CA

Other

Enumeration date
04/16/2020
Last updated
05/28/2021
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