Individual
GRACE YE KYUNG JIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5310 FOUNTAIN AVE, LOS ANGELES, CA 90029-1005
(323) 461-9961
Mailing address
901 WESTCHESTER PL, LOS ANGELES, CA 90019-2005
(213) 321-7970
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17475
CA
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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