Most Relevant Information
Provider Data
| NPI Number: | 1003353756 |
| Provider Name: | JIN JU KIM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/19/2017 |
| Last Updated: | 01/19/2017 |
Provider Practice Location
1540 ALCAZAR ST. CHP-133
LOS ANGELES
CA
90089
Practice Location Phone/Fax
| Phone: | 3234422850 |
| Fax: |
Provider Mailing Location
1540 ALCAZAR ST. CHP-133
LOS ANGELES
CA
90089
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |