Most Relevant Information
Provider Data
| NPI Number: | 1003228115 |
| Provider Name: | GINNY KIM THAN NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 23518 |
Most Important Dates
| Enumeration Date: | 05/22/2014 |
| Last Updated: | 05/22/2014 |
Provider Practice Location
4650 W SUNSET BLVD
MS #81
LOS ANGELES
CA
900276062
Practice Location Phone/Fax
| Phone: | 3233613033 |
| Fax: | 3233618191 |
Provider Mailing Location
4650 W SUNSET BLVD
MS #81
LOS ANGELES
CA
900276062
Provider Mailing Phone/Fax
| Phone: | 3233613033 |
| Fax: | 3233618191 |