Individual
ANGELA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12440 FIRESTONE BLVD STE 3020, NORWALK, CA 90650-9328
(562) 864-7821
Mailing address
4494 LARWIN AVE, CYPRESS, CA 90630-4155
(714) 822-8651
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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