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Individual

ELEANOR KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
5655 LINDERO CANYON RD STE 521-21, WESTLAKE VILLAGE, CA 91362-4016
(617) 947-5123
Mailing address
PO BOX 426, CAMARILLO, CA 93011-0426
(617) 947-5123

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
7816
MA
103T00000X
Psychologist
Primary
PSY30899
CA

Other

Enumeration date
09/14/2006
Last updated
08/08/2020
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