Search › California › 171100000X
Chongweon Kim
NPI 1053790857 · on the registry since 2015 · sole proprietor
Practice
- Address
- 1144 N Euclid St
Anaheim, CA 92801 - Phone
- (714) 519-1362
Registry record
- Primary taxonomy
- 171100000X
171100000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-05-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California