Individual
BO EUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3974 PENNSYLVANIA AVE, GLENDALE, CA 91214-3793
(818) 390-2324
Mailing address
3974 PENNSYLVANIA AVE UNIT 102, GLENDALE, CA 91214-3794
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/05/2025
Last updated
12/05/2025
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