Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
656 S COCHRAN AVE APT 9, LOS ANGELES, CA 90036-4071
(213) 595-5590
Mailing address
656 S COCHRAN AVE APT 9, LOS ANGELES, CA 90036-4071
(213) 595-5590
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15149
CA
Other
Enumeration date
09/24/2012
Last updated
09/28/2015
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