Individual
JUNG H KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, PTA
Contact information
Practice address
4980 BARRANCA PKWY, IRVINE, CA 92604-8645
(949) 551-1101
Mailing address
4980 BARRANCA PKWY, IRVINE, CA 92604-8645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT 8010
CA
2255A2300X
Athletic Trainer
110102194
CA
Other
Enumeration date
05/17/2006
Last updated
08/01/2013
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