Individual
CHRISTOPHER KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 W ROUTE 66 STE 202, GLENDORA, CA 91740-4335
(626) 963-4467
Mailing address
1201 PORTO GRANDE UNIT 3, DIAMOND BAR, CA 91765-5414
(949) 529-0234
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
94028524
CA
Other
Enumeration date
09/09/2024
Last updated
02/20/2025
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