Most Relevant Information
Provider Data
| NPI Number: | 1003018524 |
| Provider Name: | KWANG JA KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH 30573 |
Most Important Dates
| Enumeration Date: | 06/05/2007 |
| Last Updated: | 06/07/2012 |
Provider Practice Location
18102 PIONEER BLVD STE 101
ARTESIA
CA
907013997
Practice Location Phone/Fax
| Phone: | 5624023636 |
| Fax: | 5624023676 |
Provider Mailing Location
18102 PIONEER BLVD STE 101
ARTESIA
CA
907013997
Provider Mailing Phone/Fax
| Phone: | 5624023636 |
| Fax: | 5624023676 |