Individual
JAMES KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
11926 LA MIRADA BLVD., LA MIRADA, CA 90638
(562) 943-7156
Mailing address
8572 LA SALLE ST, CYPRESS, CA 90630-6001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18969
CA
Other
Enumeration date
08/25/2018
Last updated
08/25/2018
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