Individual
MR. EDWARD KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
3838 SHERMAN DR, SUITE 9, RIVERSIDE, CA 92503
(909) 709-7496
Mailing address
3838 SHERMAN DR STE 11, RIVERSIDE, CA 92503-4001
(951) 353-2831
(951) 353-2834
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT22700
CA
Other
Enumeration date
05/18/2006
Last updated
07/31/2018
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