Individual
JIWON W KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
(818) 375-2443
Mailing address
13652 CANTARA ST, PANORAMA CITY, CA 91402-5423
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
51832
CA
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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