Individual
JIHAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
861 S HARBOR BLVD, ANAHEIM, CA 92805-5157
(714) 635-8131
Mailing address
212 S KRAEMER BLVD UNIT 203, PLACENTIA, CA 92870-6107
(213) 905-5083
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5502
CA
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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