Individual
GINA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L, CBIS
Contact information
Practice address
1301 20TH ST STE 300A, SANTA MONICA, CA 90404-2050
(310) 582-7111
(310) 315-4069
Mailing address
16542 VENTURA BLVD STE 500, ENCINO, CA 91436
(818) 783-3800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15535
CA
Other
Enumeration date
11/07/2014
Last updated
07/02/2024
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