Individual
YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1805 WEST ST, HAYWARD, CA 94545-1932
(510) 783-4811
Mailing address
29161 HILLVIEW ST, HAYWARD, CA 94544-6592
(510) 789-5947
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA48617
CA
Other
Enumeration date
09/28/2021
Last updated
01/03/2022
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