Most Relevant Information
Provider Data
| NPI Number: | 1003453994 |
| Provider Name: | LYNN JANG SHIM |
| Entity Type: | Individual |
| Taxonomy Code: | 106H00000X |
| Specialty: | Marriage & Family Therapist |
| License Number: | 137610 |
Most Important Dates
| Enumeration Date: | 12/10/2019 |
| Last Updated: | 02/06/2023 |
Provider Practice Location
25 LINCOLN CT
BUENA PARK
CA
906204608
Practice Location Phone/Fax
| Phone: | 7144229922 |
| Fax: |
Provider Mailing Location
25 LINCOLN CT
BUENA PARK
CA
906204608
Provider Mailing Phone/Fax
| Phone: | 7144229922 |
| Fax: |