Individual
ASSAVUTH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1471 CHERRY AVENUE, LONG BEACH, CA 90813
(562) 552-7176
Mailing address
1471 CHERRY AVE, LONG BEACH, CA 90813-2513
(562) 552-7176
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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