Individual
GRACE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 WILSHIRE BLVD STE 2200, LOS ANGELES, CA 90010-2632
(213) 382-4400
Mailing address
447 N EL MOLINO AVE, PASADENA, CA 91101-1403
(626) 577-8480
(626) 577-8978
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
26795
CA
225400000X
Rehabilitation Practitioner
—
CA
225C00000X
Rehabilitation Counselor
—
CA
Other
Enumeration date
02/21/2007
Last updated
02/27/2020
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