Individual
PETER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1345 EMERALD DR APT 106, LOS ANGELES, CA 90026-2137
(213) 505-6926
Mailing address
1345 EMERALD DR APT 106, LOS ANGELES, CA 90026-2137
(213) 505-6926
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50482
CA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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