Most Relevant Information
Provider Data
| NPI Number: | 1003644063 |
| Provider Name: | WHAL LAN KIM ACSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | ASW112821 |
Most Important Dates
| Enumeration Date: | 07/22/2024 |
| Last Updated: | 07/22/2024 |
Provider Practice Location
155 N OCCIDENTAL BLVD
LOS ANGELES
CA
900264641
Practice Location Phone/Fax
| Phone: | 2133812931 |
| Fax: |
Provider Mailing Location
155 N OCCIDENTAL BLVD
LOS ANGELES
CA
900264641
Provider Mailing Phone/Fax
| Phone: | 2133812931 |
| Fax: |