Organization
ELIZABETH J. KIM, PH.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DASOR KIM (OFFICE MANAGER)
(323) 935-0960
Entity
Organization
Contact information
Practice address
13030 EUCLID ST STE 118, GARDEN GROVE, CA 92843-1334
(714) 537-5400
(714) 537-5465
Mailing address
13030 EUCLID ST STE 118, GARDEN GROVE, CA 92843-1334
(714) 537-5400
(714) 537-5465
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/02/2020
Last updated
02/02/2020
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