Individual
IRIS KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12411 SLAUSON AVE STE H, WHITTIER, CA 90606-2835
(562) 693-5449
Mailing address
2701 MICHIGAN AVE, LOS ANGELES, CA 90033-3605
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
26821
CA
Other
Enumeration date
04/26/2020
Last updated
04/26/2020
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