Individual
TIFFANY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 S WESTERN AVE, LOS ANGELES, CA 90005-3024
(213) 383-6207
(213) 383-9703
Mailing address
670 S WESTERN AVE, LOS ANGELES, CA 90005-3024
(213) 383-6207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
85060
CA
1835P2201X
Ambulatory Care Pharmacist
Primary
85070
CA
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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