Individual
MR. BRIAN BYOUNGSOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1962 ROANOKE AVE, TUSTIN, CA 92780-6635
(714) 488-6773
Mailing address
1962 ROANOKE AVE, TUSTIN, CA 92780-6635
(714) 488-6773
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
36544
CA
Other
Enumeration date
08/15/2012
Last updated
12/15/2021
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