Individual
LESLEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 91367-5085
(818) 296-9247
Mailing address
21600 OXNARD ST STE 1030, WOODLAND HILLS, CA 91367-5085
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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