Individual
ELLEN Y KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1527 E CESAR E CHAVEZ AVE, LOS ANGELES, CA 90033-2302
(323) 500-0191
Mailing address
17216 SATICOY ST # 141, VAN NUYS, CA 91406-2103
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SPA7178
CA
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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