Individual
HYUN SIL KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Mailing address
130 W VICTORIA ST, GARDENA, CA 90248-3523
(310) 715-2020
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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