Individual
JIN RI KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6741 LINCOLN AVE SPC 153, BUENA PARK, CA 90620-5678
(714) 616-2799
Mailing address
6741 LINCOLN AVE SPC 153, BUENA PARK, CA 90620-5678
(714) 616-2799
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25243
CA
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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