Individual
ANDREW TAEHO KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2235 241ST ST APT 6, LOMITA, CA 90717-1062
(310) 800-5614
Mailing address
2235 241ST ST APT 6, LOMITA, CA 90717-1062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/06/2017
Last updated
10/12/2021
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