Organization
SPORT SPECIFIC PHYSICAL THERAPY INC.
Active
Other names
KIM REHAB GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
GUNPYO KIM (CEO)
(551) 574-1109
Entity
Organization
Contact information
Practice address
775 DAWSON AVE, LONG BEACH, CA 90804-4529
(551) 574-1109
Mailing address
775 DAWSON AVE, LONG BEACH, CA 90804-4529
(551) 574-1109
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
09/20/2025
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