Individual
JESSICA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2070 CENTURY PARK E, LOS ANGELES, CA 90067-1907
(424) 522-7100
Mailing address
2070 CENTURY PARK E, LOS ANGELES, CA 90067-1907
(424) 522-7100
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15594
CA
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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